Provider Demographics
NPI:1114078912
Name:ROBINSON, DONALD WALTER (DO)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:WALTER
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HHC, ASG-KU
Mailing Address - Street 2:ATTN: MEDICAL
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09366
Mailing Address - Country:US
Mailing Address - Phone:706-239-9678
Mailing Address - Fax:
Practice Address - Street 1:HHC, ASG-KU
Practice Address - Street 2:ATTN: MEDICAL
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09366
Practice Address - Country:US
Practice Address - Phone:706-239-9678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS0440742083A0100X, 2083P0901X
FLOS99752086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
No2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine