Individual
JEFFREY DAVID ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
409 N UNIVERSITY AVE, LITTLE ROCK, AR 72205-3108
(501) 664-6980
(501) 664-4738
Mailing address
409 N UNIVERSITY AVE, LITTLE ROCK, AR 72205-3108
(501) 664-6980
(501) 664-4738
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
E-9288
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208307795
—
AR
01
—
E-9288
STATE MEDICAL LICENSE
AR
Enumeration date
04/13/2012
Last updated
09/13/2018
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