Individual
DR. JEFFREY ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-7419
Mailing address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-7419
Taxonomy
Speciality
Code
Description
License number
State
213ES0000X
Sports Medicine Podiatrist
PL 60088829
WA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4976
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
PL 60088829
WA
Other
Enumeration date
05/19/2010
Last updated
12/01/2021
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