Provider Demographics
NPI:1043320633
Name:DUKE, ROBIN L (PA)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:L
Last Name:DUKE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17116 JOHN BROWN RD
Mailing Address - Street 2:
Mailing Address - City:GUYS MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:16327-1442
Mailing Address - Country:US
Mailing Address - Phone:814-967-4813
Mailing Address - Fax:
Practice Address - Street 1:751 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-2559
Practice Address - Country:US
Practice Address - Phone:814-333-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOA000406L363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAS12114Medicare UPIN
PA098102SA6Medicare ID - Type Unspecified