Individual
DR. PHILIP BRUNNER ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 WESTWOOD CMN, BLUEFIELD, VA 24605-2031
(276) 326-2686
Mailing address
347 SANDPIPER AVE, PRINCETON, WV 24740-4185
(304) 425-2620
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101044622
VA
2084P0800X
Psychiatry Physician
15604
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114647000
—
WV
05
—
7107340
—
VA
Enumeration date
03/25/2006
Last updated
06/27/2008
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