Individual
GERALD MELVIN ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
904 DEVILLE LN, RUSTON, LA 71270-6313
(318) 255-5020
(318) 255-6623
Mailing address
PO BOX 2540, MONROE, LA 71207-2540
(318) 388-0810
(318) 388-0810
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
06868R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1304310
—
LA
Enumeration date
07/09/2005
Last updated
03/03/2015
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