Individual
DR. THEODORE J. ROBNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
510 SW RAMSEY AVE, GRANTS PASS, OR 97527-5554
(541) 472-7040
Mailing address
PO BOX 8509, MEDFORD, OR 97501-5009
(541) 772-0023
(541) 472-7043
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
A75314
CA
2085R0001X
Radiation Oncology Physician
Primary
MD28266
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD28266
OREGON STATE MEDICAL LICENSE
OR
Enumeration date
06/28/2005
Last updated
06/25/2009
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