Provider Demographics
NPI:1619181302
Name:ROBINSON, BEN CARTER (MD)
Entity Type:Individual
Prefix:DR
First Name:BEN
Middle Name:CARTER
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:BEN
Other - Middle Name:CARTER
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1225 HANCOCK RD 205
Mailing Address - Street 2:
Mailing Address - City:BULLHEAD CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86442-5962
Mailing Address - Country:US
Mailing Address - Phone:928-704-3712
Mailing Address - Fax:
Practice Address - Street 1:4700 N. LAS VEGAS BLVD
Practice Address - Street 2:NELLIS AFB-MOFH NELLIS ORTHOPEDICS
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89191
Practice Address - Country:US
Practice Address - Phone:702-653-3040
Practice Address - Fax:702-653-2115
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ32119207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery