Charles Craig Robertson

NPI #1003966458 in Layton, Utah

Provider Information

NPI Number: 1003966458
Entity Type: Individual
Name: Charles Craig Robertson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jan 10, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2250 ROBINS DR
City: Layton
State: Utah
ZIP Code: 84041-1140
Phone: (801) 773-7060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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