Provider Information for 1518361757
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DAVID ROBB
Sex: Male
NPI: 1518361757
Last Updated: 2022-09-28
Certification Date: 2022-09-28
Certification Date: 2022-09-28
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1518361757 | ||||||||
| Enumeration Date | 2014-10-17 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2935 BAGNELL DAM BLVD STE 124 LAKE OZARK, MO 65049-8661 United States Phone: 573-557-9795 | Fax:573-746-2686 | ||||||||
| Primary Practice Address | 2935 BAGNELL DAM BLVD STE 124 LAKE OZARK, MO 65049-8661 United States Phone: 573-557-9795 | Fax: | ||||||||
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