MEDICARE: DR. WESLEY J ROBERTSON MD

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	208000000X	Pediatrics Physician	7487	NV
2	208000000X	Pediatrics Physician	G75292	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154345031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WESLEY J ROBERTSON MD

Provider Business Mailing Address
First Line	:	7455 W WASHINGTON AVE
Second Line	:	STE 300
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-4338
Country	:	US
Telephone Number	:	702-363-3000
Fax Number	:	702-363-3161

Provider Business Practice Location Address
First Line	:	7455 W WASHINGTON AVE
Second Line	:	STE 300
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-4338
Country	:	US
Telephone Number	:	702-363-3000
Fax Number	:	703-363-3161

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

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	02/27/2018

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