Organization
GREGORY ROBERTSON, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY ROBERTSON M.C. (OWNER/PHYSICIAN)
(520) 319-1455
Entity
Organization
Contact information
Practice address
5240 E KNIGHT DR, SUITE 118, TUCSON, AZ 85712-2122
(520) 319-1455
(520) 316-1454
Mailing address
5240 E KNIGHT DR, SUITE 118, TUCSON, AZ 85712-2122
(520) 319-1455
(520) 316-1454
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17506
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
296170-004
—
AZ
Enumeration date
08/19/2013
Last updated
03/07/2016
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