Individual
DR. ROBERT AUGUST ROBERTSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1455 E BERT KOUNS LOOP, SHREVEPORT, LA 71105-5634
(318) 681-4440
Mailing address
PO BOX 23, SHREVEPORT, LA 71161-0023
(318) 868-3151
(318) 861-3156
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
06838R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1353833
—
LA
Enumeration date
10/06/2005
Last updated
07/08/2007
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