NPI 1003966458

Charles Craig Robertson

Practitioner Other Technician Layton, UT

Practice location

Address: 2250 Robins Dr, Layton, UT 84041-1140
Phone: (801) 773-7060
Fax: (801) 774-6100
Mailing address: PO Box 765, Morgan, UT 84050-0765

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Utah →

Registry record

NPI: 1003966458
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.