Individual
DR. PATRICK AARON ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 S 5TH ST, DOUGLAS, WY 82633-2434
(307) 358-2122
(307) 358-9216
Mailing address
PO BOX 1450, DOUGLAS, WY 82633-1450
(307) 358-1403
(307) 358-3432
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
10168
NH
207X00000X
Orthopaedic Surgery Physician
153414
MA
207X00000X
Orthopaedic Surgery Physician
Primary
6940A
WY
207X00000X
Orthopaedic Surgery Physician
95-00203
NC
207X00000X
Orthopaedic Surgery Physician
MD14964
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194715037
—
ME
05
—
119905600
—
WY
01
—
6940A
MEDICAL LICENSE
WY
Enumeration date
10/23/2005
Last updated
11/05/2013
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