Individual
LEON ROBINSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 635-5264
(573) 636-9756
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 635-5264
(573) 636-9756
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101244387
VA
208600000X
Surgery Physician
Primary
2010008121
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871743104
BCBS
VA
05
—
1871743104
—
MO
05
—
1871743104
—
VA
Enumeration date
09/23/2008
Last updated
01/20/2023
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