Individual
ROBERT DALE BITNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
208 W CASABLANCA AVE, BLDG 1400 CANNON AFB 27 MEDICAL GROUP, CLOVIS, NM 88103-5009
(505) 784-6608
(505) 784-6028
Mailing address
208 W CASABLANCA AVE, BLDG 1400 CANNON AFB 27 MEDICAL GROUP, CLOVIS, NM 88103-5009
(505) 784-6608
(505) 784-6028
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1041965
NM
Other
Enumeration date
11/08/2005
Last updated
07/08/2007
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