Individual
MR. JOHN YEARDLEY ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1478 W MAIN ST, NEWARK, OH 43055-3687
(740) 366-1648
Mailing address
1478 W MAIN ST, NEWARK, OH 43055-3687
(740) 344-6871
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-00-8001-R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000343448
ANTHEM
OH
05
—
2497927
—
OH
01
—
7252573
AETNA
OH
Enumeration date
10/12/2005
Last updated
02/14/2014
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