Organization
GWENN S ROBINSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GWENN SUSAN ROBINSON MD (PRESIDENT)
(505) 821-2985
Entity
Organization
Contact information
Practice address
6100 PAN AMERICAN EAST FWY NE, SUITE 430, ALBUQUERQUE, NM 87109-3427
(505) 821-2985
Mailing address
6100 PAN AMERICAN EAST FWY NE, SUITE 430, ALBUQUERQUE, NM 87109-3427
(505) 821-2985
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
NM 76-253
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22772
—
NM
Enumeration date
05/07/2007
Last updated
01/05/2010
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