Provider Demographics
NPI:1245438076
Name:ROBINE, DOMINIC ANTHONY (DO)
Entity type:Individual
Prefix:MR
First Name:DOMINIC
Middle Name:ANTHONY
Last Name:ROBINE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3150 N TENAYA WAY
Mailing Address - Street 2:STE 460
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-0463
Mailing Address - Country:US
Mailing Address - Phone:702-233-1000
Mailing Address - Fax:702-233-1001
Practice Address - Street 1:3150 N. TENAYA WAY
Practice Address - Street 2:SUITE 460
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128
Practice Address - Country:US
Practice Address - Phone:702-233-1000
Practice Address - Fax:702-233-1001
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVDO1954207RC0000X
KS9406831207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine