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Individual

MR. JOEL ROBERTSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1400 UINTA DR, GREEN RIVER, WY 82935-5060
(307) 872-4500
(307) 872-4595
Mailing address
2645 ILLINOIS CT, GREEN RIVER, WY 82935-6131
(307) 399-3037

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
WY

Other

Enumeration date
08/21/2012
Last updated
06/16/2015
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