Individual
MR. JOHN WOODSON ROBERTS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1455 MONTEGO, STE 102, WALNUT CREEK, CA 94598-2990
(925) 935-0627
(925) 937-6967
Mailing address
1455 MONTEGO, STE 102, WALNUT CREEK, CA 94598-2990
(925) 935-0627
(925) 937-6967
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G35198
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G351980
—
CA
Enumeration date
10/20/2005
Last updated
07/08/2007
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