Basic Information
| Provider Information | |||||||||
| NPI: | 1790964864 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CURTIS F. ROBINSON MD INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1340 | ||||||||
| Address2: | |||||||||
| City: | SUISUN CITY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945854340 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4154933342 | ||||||||
| FaxNumber: | 4154933301 | ||||||||
| Practice Location | |||||||||
| Address1: | 619 E BLITHEDALE AVE | ||||||||
| Address2: | STE A | ||||||||
| City: | MILL VALLEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 949411468 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4153882801 | ||||||||
| FaxNumber: | 4153882803 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/25/2007 | ||||||||
| LastUpdateDate: | 10/25/2007 | ||||||||
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| AuthorizedOfficialLastName: | ROBINSON | ||||||||
| AuthorizedOfficialFirstName: | CURTIS | ||||||||
| AuthorizedOfficialMiddleName: | F | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 4153882801 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | G77175 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.