Most Relevant Information
Provider Data
NPI Number: | 1003257478 |
Provider Name: | DAVE ROBINSON PA-C |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: | PA-1376 |
Most Important Dates
Enumeration Date: | 07/12/2013 |
Last Updated: | 09/23/2019 |
Provider Practice Location
1236 BOND AVE STE B
REXBURG
ID
83440
Practice Location Phone/Fax
Phone: | 2087010277 |
Fax: | 2087010294 |
Provider Mailing Location
1236 BOND AVE STE B
REXBURG
ID
834403503
Provider Mailing Phone/Fax
Phone: | 2087010277 |
Fax: | 2087010294 |