Most Relevant Information
Provider Data
| NPI Number: | 1003180589 |
| Provider Name: | JAMES ROBERTSON IDC |
| Entity Type: | Individual |
| Taxonomy Code: | 1710I1002X |
| Specialty: | Military Health Care Provider |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/01/2012 |
| Last Updated: | 03/01/2012 |
Provider Practice Location
1ST MARINE DIVISION
CAMP PENDLETON
CA
92055
Practice Location Phone/Fax
| Phone: | 7605767349 |
| Fax: |
Provider Mailing Location
914 NICHOLS ST
OCEANSIDE
CA
920588019
Provider Mailing Phone/Fax
| Phone: | 7605767349 |
| Fax: |