Individual
MR. THOMAS HENRY ROBERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10620 SPOTSYLVANIA AVE, FREDERICKSBURG, VA 22408-2637
(540) 710-1086
(540) 710-1126
Mailing address
10620 SPOTSYLVANIA AVE, FREDERICKSBURG, VA 22408-2637
(540) 710-1086
(540) 710-1126
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110840461
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110840461
LICENSE
VA
Enumeration date
06/28/2006
Last updated
03/07/2023
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