Search › Missouri › 225100000X
Jay Robertson
NPI 1770732596 · on the registry since 2008
Practice
- Address
- 725 Highway 142
Poplar Bluff, MO 63901 - Phone
- (573) 776-2450
- Fax
- (573) 776-2455
- Organisation at this address
- Marathon Health, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-09-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri