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NPI Code Detail

MEDICARE: MICHAEL C ROBERSON MD

MEDICARE: MICHAEL C ROBERSON 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
1207W00000XOphthalmology PhysicianC4220AR

Other Identifiers

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

General Provider Information

NPI Number : 1982689139
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL C ROBERSON MD
Provider Business Mailing Address
First Line : 201 EXECUTIVE CT
Second Line : SUITE A
City : LITTLE ROCK
State : AR
Zip : 72205-4536
Country : US
Telephone Number : 501-224-5658
Fax Number : 501-224-8114
Provider Business Practice Location Address
First Line : 201 EXECUTIVE CT
Second Line : SUITE A
City : LITTLE ROCK
State : AR
Zip : 72205-4536
Country : US
Telephone Number : 501-224-5658
Fax Number : 501-224-8114
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2005
Last Update Date : 12/27/2016

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Directions to “ MICHAEL C ROBERSON MD” Practice Location

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