Individual
DWIGHT ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-2958
Mailing address
620 JOHN PAUL JONES CIR BLDG 2, PORTSMOUTH, VA 23708-2111
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
11266019-1204
UT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/10/2015
Last updated
03/05/2025
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