Provider Demographics
NPI:1508841800
Name:GATLIN, ROBERT A (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:GATLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1701 N GREEN VALLEY PKWY
Mailing Address - Street 2:BLD 3 SUITE B
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-5885
Mailing Address - Country:US
Mailing Address - Phone:702-737-3200
Mailing Address - Fax:702-369-4727
Practice Address - Street 1:1701 N GREEN VALLEY PKWY
Practice Address - Street 2:BLD 3 SUITE B
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-5885
Practice Address - Country:US
Practice Address - Phone:702-737-3200
Practice Address - Fax:702-369-4727
Is Sole Proprietor?:No
Enumeration Date:2005-12-08
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV3436207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002002077Medicaid
NV16WCHJQ01Medicare ID - Type Unspecified
NV002002077Medicaid