Individual
DR. PATRICK BANNER ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5115 BERNARD DR STE 201, ROANOKE, VA 24018-4367
(540) 345-0289
(540) 345-9569
Mailing address
6001 W OUTER DR, DETROIT, MI 48235-2614
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0102204784
VA
Other
Enumeration date
03/05/2013
Last updated
05/30/2017
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