MEDICARE: JULIAN ROBLEDO 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	207P00000X	Emergency Medicine Physician	00022915	AL

General Provider Information

NPI Number	:	1497713036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIAN ROBLEDO MD

Provider Business Mailing Address
First Line	:	3675 HOOD LN
Second Line	:
City	:	SOUTHSIDE
State	:	AL
Zip	:	35907-7075
Country	:	US
Telephone Number	:	256-413-7465
Fax Number	:

Provider Business Practice Location Address
First Line	:	3675 HOOD LN
Second Line	:
City	:	SOUTHSIDE
State	:	AL
Zip	:	35907-7075
Country	:	US
Telephone Number	:	256-413-7465
Fax Number	:

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

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	04/14/2008

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Directions to “ JULIAN ROBLEDO MD” Practice Location

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