Individual
DR. SHIRLEY ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 HOSPITAL DRIVE, STE 6, OPELOUSAS, LA 70570
(337) 407-1398
Mailing address
1200 HOSPITAL DRIVE, STE 6, OPELOUSAS, LA 70570
(337) 407-1398
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10062R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1481408
—
LA
Enumeration date
10/22/2007
Last updated
10/22/2007
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