Provider Demographics
NPI:1598817439
Name:ZAMBAI, ROBYN S (CMT)
Entity Type:Individual
Prefix:MS
First Name:ROBYN
Middle Name:S
Last Name:ZAMBAI
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 BRIDGER AVE
Mailing Address - Street 2:
Mailing Address - City:ROCK SPRINGS
Mailing Address - State:WY
Mailing Address - Zip Code:82901-5211
Mailing Address - Country:US
Mailing Address - Phone:307-382-8656
Mailing Address - Fax:
Practice Address - Street 1:1413 DEWAR DRIVE #32
Practice Address - Street 2:
Practice Address - City:ROCK SPRINGS
Practice Address - State:WY
Practice Address - Zip Code:82901
Practice Address - Country:US
Practice Address - Phone:307-382-8656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY314381OtherBLUE CROSS BLUE SHIELD PN