Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RYAN T ROBINSON, MD
ActiveSports Medicine (EM) · PEORIA, IL
Registration Details
- NPI Number
- 1194833707
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 25, 2006 (19.657942647766 yrs)
- Last Updated
- Jul 13, 2010
- Licenses
-
036-111823 (IL)036111823 (IL)
Practice Information
- Address
-
303 N WILLIAM KUMPF BLVDPEORIA, IL, 616052507Browse IL providers · Browse ZIP 61605
- Phone
- 3096765546
- Fax
- 3096765045
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
- Additional Specialty
- Sports Medicine (EM)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.