NPI 1235238106

Fred Shaune Robertson, MD

Practitioner Emergency Medical Services (Emergency Medicine) Physician Glen Dale, WV

Practice location

Address: 800 Wheeling Ave, Glen Dale, WV 26038-1660
Phone: (304) 845-3211
Fax: (304) 843-3202

Registered specialties

Emergency Medical Services (Emergency Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207PE0004X Licence 19254 (WV)

Other Emergency Medicine providers in West Virginia →

Registry record

NPI: 1235238106
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Sep 2006
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.