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Individual

DR. BOBBY JACK ROBERTSON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1536 JEFFCO BLVD, ARNOLD, MO 63010
(636) 287-2200
(636) 287-2201
Mailing address
1536 JEFFCO BLVD, ARNOLD, MO 63010
(636) 287-2200
(636) 287-2201

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2002019220
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
168022
BCBS
01
397682
HEALTHLINK
01
5283529
AETNA
01
648230
UNITED HEALTH CARE
Enumeration date
08/17/2006
Last updated
01/27/2012
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