Organization
JEROME A ROBSON M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME ANTHONY ROBSON MD (PRESIDENT)
(209) 529-9603
Entity
Organization
Contact information
Practice address
500 COFFEE ROAD, SUITE E, MODESTO, CA 95355-4241
(209) 521-1209
(209) 521-1215
Mailing address
817 COFFEE RD, BUILDING C3, MODESTO, CA 95355-4241
(209) 529-9603
(209) 529-6610
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G32736
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
G32736
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOG327360
—
CA
Enumeration date
12/24/2009
Last updated
09/30/2014
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