Provider Demographics
NPI:1881928760
Name:ENGLAND, ROBERT W JR (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:W
Last Name:ENGLAND
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:4041 N CENTRAL AVE
Mailing Address - Street 2:SUITE 1400
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-3330
Mailing Address - Country:US
Mailing Address - Phone:602-506-6601
Mailing Address - Fax:602-372-0342
Practice Address - Street 1:1645 E ROOSEVELT ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-3638
Practice Address - Country:US
Practice Address - Phone:602-506-6657
Practice Address - Fax:602-372-0342
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-25
Last Update Date:2009-09-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ163772083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ173865Medicaid