Individual
MR. RANDY GERALD ROBERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
500 S DAYTON ST, KENNEWICK, WA 99336-5640
(509) 222-6843
Mailing address
2401 W 6TH AVE, KENNEWICK, WA 99336-4702
(509) 586-1579
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/13/2006
Last updated
07/08/2007
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