Bruce A Robertson M.D

NPI 1003875923 - Family Medicine - 207QG0300X

NPI Details
NPI 1003875923
Gender Male
Enumeration Date 03/20/2006
Last Updated 01/08/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
13851 E 14TH ST
SUITE 102
SAN LEANDRO CA, 94578-2628, US
Phone (510) 351-2100
Fax (510) 357-3389
Business Location
13851 E 14TH ST
SUITE 102
SAN LEANDRO CA, 94578-2628, US
Phone (510) 351-2100
Fax (510) 357-3389
Toxanomy
Taxonomy Code 207QG0300X
License State California
License Number G51061
Remove 1003875923 NPI Number
 

According to our database, Bruce A Robertson M.D NPI is 1003875923, taxonomy code is 207QG0300X and license number is G51061, license state is located at California. Bruce A Robertson M.D physically located at 13851 E 14th St, San Leandro CA, 94578-2628. NPI Number Bruce A Robertson M.D has the Individual type.

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1003875923 NPI number is provided on an as is basis without warranty of any kind. 1003875923 is maintained by the National Plan & Provider Enumeration System. The contents of Bruce A Robertson M.D are for informational purposes only.