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Individual
DR. SCOTT E ROBERTSON
Active
Individual
DR. SCOTT E ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A81709
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A817090
BLUE SHIELD OF CALIFORNIA
CA
01
—
7202506
AETNA PIN
CA
01
—
A81709
BLUE CROSS
CA
Enumeration date
11/29/2005
Last updated
03/22/2017
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