Provider Demographics
NPI:1588617724
Name:COMP, ROBERT ALLEN (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:ALLEN
Last Name:COMP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:111 E DUNLAP AVE
Mailing Address - Street 2:STE 1-273
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-7801
Mailing Address - Country:US
Mailing Address - Phone:480-867-7223
Mailing Address - Fax:602-674-6253
Practice Address - Street 1:9225 N 3RD ST STE 205
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-2464
Practice Address - Country:US
Practice Address - Phone:480-867-7223
Practice Address - Fax:602-674-6253
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2023-09-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ12737207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ12737OtherAZ MD LIC
AZ235946Medicaid
AZ12737OtherAZ MD LIC