MEDICARE: ADAM ROBERTSON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	00006601	AL

General Provider Information

NPI Number	:	1093733628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM ROBERTSON M.D.

Provider Business Mailing Address
First Line	:	PO BOX 610038
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35261-0038
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 11TH AVE S
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35205-3410
Country	:	US
Telephone Number	:	205-930-7050
Fax Number	:	205-930-8280

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	07/08/2007

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Directions to “ ADAM ROBERTSON M.D.” Practice Location

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