Individual
ANTHONY TYLER ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1701 S DOUGLAS BLVD, MIDWEST CITY, OK 73130-6221
(405) 302-8999
(405) 733-9360
Mailing address
1701 S DOUGLAS BLVD, MIDWEST CITY, OK 73130-6221
(405) 302-8999
(405) 733-9360
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2660
OK
Other
Enumeration date
09/09/2013
Last updated
05/09/2017
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