Provider Demographics
NPI:1821266271
Name:WILLIAM B. ROBEY, M.D., P.C.
Entity Type:Organization
Organization Name:WILLIAM B. ROBEY, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:GARNO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:623-846-7553
Mailing Address - Street 1:10240 W INDIAN SCHOOL RD
Mailing Address - Street 2:STE 155
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85037-5904
Mailing Address - Country:US
Mailing Address - Phone:623-385-7900
Mailing Address - Fax:623-792-1233
Practice Address - Street 1:10240 W INDIAN SCHOOL RD
Practice Address - Street 2:STE 155
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037-5904
Practice Address - Country:US
Practice Address - Phone:623-385-7900
Practice Address - Fax:623-792-1233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE3919MD207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ229048Medicaid