Provider Demographics
NPI:1407897028
Name:ROBIE, GEORGE FIELDING JR (M D)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:FIELDING
Last Name:ROBIE
Suffix:JR
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 WEST SECOND ST.
Mailing Address - Street 2:SUITE D
Mailing Address - City:ELK CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73644-4328
Mailing Address - Country:US
Mailing Address - Phone:580-225-5551
Mailing Address - Fax:580-225-5553
Practice Address - Street 1:1900 WEST SECOND ST.
Practice Address - Street 2:SUITE D
Practice Address - City:ELK CITY
Practice Address - State:OK
Practice Address - Zip Code:73644-4328
Practice Address - Country:US
Practice Address - Phone:580-225-5551
Practice Address - Fax:580-225-5553
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK14162207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200204550AMedicaid
OK200204550AMedicaid
OK800522388Medicare ID - Type Unspecified