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Individual
BRIAN ANDREW ROBERTSON
Active
Individual
BRIAN ANDREW ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD60550228
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225358997
—
WA
01
—
P01545444
RR PTAN CWH
WA
01
—
P01545447
RR PTAN WVH
WA
Enumeration date
06/04/2010
Last updated
12/14/2015
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