Joel Robertson, PA
Physician Assistant in Green River, WY. Individual provider (NPI-1).
NPI number1215285366
StatusActive
Last updated in NPPESJun 16, 2015
Details
- NPI
- 1215285366
- Entity type
- Individual (NPI-1)
- Name
- Mr. Joel Robertson
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 21, 2012
- Last updated
- Jun 16, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | WY | Yes |
Practice location
1400 Uinta DrGreen River, WY 82935-5060
Phone 307-872-4500 · Fax 307-872-4595
Mailing address
2645 Illinois CtGreen River, WY 82935-6131
Phone 307-399-3037
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