Individual
DANIEL M ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5201 NORTH SHORE DRIVE, NORTH LITTLE ROCK, AR 72118-5312
(501) 748-8000
(501) 748-8159
Mailing address
4 SHACKLEFORD PLAZA, SUITE 212, LITTLE ROCK, AR 72211-1844
(501) 223-9991
(501) 223-9925
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R4157
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54647
AR BCBS
AR
Enumeration date
10/02/2006
Last updated
07/08/2007
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