Individual
JAMES K ROBBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
116 E ROBERT S KERR BLVD, WYNNEWOOD, OK 73098-6621
(405) 665-4351
(405) 665-5108
Mailing address
116 E ROBERT S KERR BLVD, PO BOX 277, WYNNEWOOD, OK 73098-6621
(405) 665-4351
(405) 665-5108
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11847
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100123660A
—
OK
01
—
100255250A
SOONER CARE
OK
Enumeration date
08/12/2005
Last updated
09/16/2009
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