Organization
DR.DAVID ROBERSON JR.DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ROBERSON JR. DPM (PODIATRIST)
(205) 942-0514
Entity
Organization
Contact information
Practice address
840 OAK GROVE RD, HOMEWOOD, AL 35209-6506
(205) 942-0514
(205) 942-8523
Mailing address
840 OAK GROVE RD, HOMEWOOD, AL 35209-6506
(205) 942-0514
(205) 942-8523
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
87
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51086600
BLUE CROSS
AL
Enumeration date
02/08/2012
Last updated
02/08/2012
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