Provider Demographics
NPI:1043311467
Name:SCRIBNER, ROBERT ROLLIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ROLLIN
Last Name:SCRIBNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3810 G 2/10 RD
Mailing Address - Street 2:
Mailing Address - City:PALISADE
Mailing Address - State:CO
Mailing Address - Zip Code:81526-9724
Mailing Address - Country:US
Mailing Address - Phone:970-464-2684
Mailing Address - Fax:
Practice Address - Street 1:3810 G 2/10 RD
Practice Address - Street 2:
Practice Address - City:PALISADE
Practice Address - State:CO
Practice Address - Zip Code:81526-9724
Practice Address - Country:US
Practice Address - Phone:970-464-2684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO459382084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry