RANDOLPH HARLEN ROBERTSON

FORT WAYNE, IN
NPI1164448239
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: TN  18129)
Enumeration Date2006-07-14
Last Update Date2016-02-15
Business Address
Dr. RANDOLPH HARLEN ROBERTSON MD
6119 W JEFFERSON BLVD
FORT WAYNE, IN 46804-3072
Phone number: 260-432-1568
Mailing Address
Dr. RANDOLPH HARLEN ROBERTSON MD
142 W 5TH ST
COOKEVILLE, TN 38501-1760
Phone number: 931-528-2541