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Individual

DR. ROBERT S. DJERGAIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 NE MOTHER JOSEPH PL STE 100, VANCOUVER, WA 98664-3292
(360) 514-3142
Mailing address
1012 EAST WILLETTA STREET, PHOENIX, AZ 85006
(602) 839-2737
(602) 839-5868

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
45887
AZ
208100000X
Physical Medicine & Rehabilitation Physician
MD00031391
WA

Other

Enumeration date
10/24/2006
Last updated
02/11/2019
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