Individual
MR. GARY L ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
1431 CHESTNUT ST, KENOVA, WV 25530-1235
(304) 453-3171
(304) 453-4793
Mailing address
1431 CHESTNUT ST, KENOVA, WV 25530-1235
(304) 453-3171
(304) 453-4793
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
873
WV
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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