NPI 1265840508

Demarco Robinson

Practitioner Driver Fort Wayne, IN

Practice location

Address: 3716 Marigold Dr, Fort Wayne, IN 46815-5922
Phone: (734) 672-0525

Registered specialties (3)

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Contractor

Other Service Providers Taxonomy 171W00000X

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Community Health Worker

Other Service Providers Taxonomy 172V00000X

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Registry record

NPI: 1265840508
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jul 2014
Record last updated: 30 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.