Provider Demographics
NPI:1184685992
Name:ROBINSON, PAUL H (MD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:H
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:PAUL
Other - Middle Name:H
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1159 E 200 N
Mailing Address - Street 2:STE 350
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003-2035
Mailing Address - Country:US
Mailing Address - Phone:801-756-5084
Mailing Address - Fax:801-756-5091
Practice Address - Street 1:1159 E 200 N
Practice Address - Street 2:STE 350
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-2022
Practice Address - Country:US
Practice Address - Phone:801-756-5084
Practice Address - Fax:801-756-5091
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2012-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1635791205208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTD20160Medicare UPIN
UT0000000816Medicare ID - Type Unspecified