Individual
HOWARD MASON ROBERTSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 265-1000
Mailing address
2006 FRANKLIN ST SE, SUITE 301, HUNTSVILLE, AL 35801-4551
(256) 539-9471
(256) 539-9472
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
00012680
AL
208D00000X
General Practice Physician
12680
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000024079
—
AL
05
—
009975805
—
AL
01
—
3074889
BCBS TN
TN
01
—
51000010
BCBS MADISON SURG CTR
AL
01
—
51024079
BCBS AL
AL
Enumeration date
01/20/2006
Last updated
09/04/2008
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