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Individual

JAMES MICHAEL ROBERTSON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
3000 COLISEUM DR, HAMPTON, VA 23666
(757) 736-1000
Mailing address
DEPT 1041 PO BOX 740209, ATLANTA, GA 30374-0209
(941) 360-1566
(941) 358-9818

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024165898
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010187168
VA
Enumeration date
04/04/2006
Last updated
07/08/2007
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