Robin Jackson Deleon in Boise - Sports Medicine
Robin Jackson Deleon - NPI 1992807085
Robin Jackson Deleon is a Sports Medicine in Boise, Idaho. Robin Jackson Deleon practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Robin Jackson Deleon is 1992807085. The last update date is 2023-03-07.
Robin Jackson Deleon's current location address is 500 W Fort St, Boise, Idaho. You can contact this provider via phone number 2084221368 and fax number 2084221188. The mailing address for Robin Jackson Deleon is 500 W Fort St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robin Jackson Deleon |
|---|---|
| Address | 500 W Fort St, Boise, Idaho |
| Phone Number | 2084221368 |
| Fax Number | 2084221188 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1992807085 |
|---|---|
| Provider Enumeration Date | 2006-09-01 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 500 W Fort St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837024501 |
| Phone Number | 2084221368 |
| Fax Number | 2084221188 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 2081S0010X |
| Licence No | M-9583 |
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Definition: A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| M-9583 | ID | MEDICAL LICENCE |
Post Comment/ Review Below
What is the Robin Jackson Deleon's 1992807085?
The Robin Jackson Deleon's NPI (National Provider Identifier) Number is 1992807085. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Robin Jackson Deleon is geographically located?
The Robin Jackson Deleon is physically situated at the following location: 500 W Fort St, Boise, ID, 837024501.
What is the Robin Jackson Deleon's area of specialization and corresponding taxonomy classification?
The Robin Jackson Deleon's specialty field is Sports Medicine, and it falls under the taxonomy code 2081S0010X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1992807085 to Robin Jackson Deleon?
The Robin Jackson Deleon received its 1992807085 assignment from the Centers for Medicare & Medicaid Services on 2006-09-01.
When was the information regarding Robin Jackson Deleon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Robin Jackson Deleon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-03-07.
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