Provider Demographics
NPI:1487700084
Name:ROBINSON, MARK K (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:K
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:152 PIONEER LN
Mailing Address - Street 2:SUITE A
Mailing Address - City:BISHOP
Mailing Address - State:CA
Mailing Address - Zip Code:93514-2563
Mailing Address - Country:US
Mailing Address - Phone:760-873-2605
Mailing Address - Fax:760-873-2769
Practice Address - Street 1:152 PIONEER LN
Practice Address - Street 2:SUITE A
Practice Address - City:BISHOP
Practice Address - State:CA
Practice Address - Zip Code:93514-2563
Practice Address - Country:US
Practice Address - Phone:760-873-2605
Practice Address - Fax:760-873-2769
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2013-02-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG43272207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G432720Medicaid
CAA49295Medicare UPIN