Organization
KEITH A. ROBERTSON, M.D. APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH A ROBERTSON M.D. (PHYSICIAN)
(805) 648-3902
Entity
Organization
Contact information
Practice address
168 N BRENT ST STE 505, VENTURA, CA 93003-2840
(805) 648-3902
(805) 648-4014
Mailing address
168 N BRENT ST STE 505, VENTURA, CA 93003-2840
(805) 648-3902
(805) 648-4014
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A70336
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A703360
—
CA
Enumeration date
05/18/2007
Last updated
08/21/2009
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