Individual
DR. GLENN GARY ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1069 S HIGHWAY 80, BENSON, AZ 85602-7008
(520) 720-6226
(877) 795-9311
Mailing address
1069 S HIGHWAY 80, BENSON, AZ 85602-7008
(520) 720-6226
(877) 795-9311
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33045
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
883753
—
AZ
Enumeration date
08/08/2006
Last updated
03/10/2016
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