Organization
CLIFFORD WILLIAM ROBERSON JR.
Active
Other names
ROBERSON ORTHOPEDIC CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIFFORD WILLIAM ROBERSON JR. MD (OWNER)
(304) 812-4182
Entity
Organization
Contact information
Practice address
3009 JACKSON AVE, POINT PLEASANT, WV 25550-1717
(304) 675-8095
(304) 675-8096
Mailing address
3009 JACKSON AVE, POINT PLEASANT, WV 25550-1717
(304) 675-8095
(304) 675-8096
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
22760
WV
261Q00000X
Clinic/Center
22760
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0143290
—
OH
05
—
2765459
—
OH
05
—
3810009163
—
WV
05
—
3910007237
—
WV
Enumeration date
09/16/2015
Last updated
03/18/2016
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