Individual provider · Type 1 NPI

Randolph Harlen Robertson, MD

Diagnostic Radiology Physician · Fort Wayne, IN

NPI number 1164448239 Active

Practice location

6119 W Jefferson Blvd
Fort Wayne, IN 46804-3072

Call (260) 432-1568 Map

Fax (260) 432-4969

Mailing address

142 W 5th St
Cookeville, TN 38501-1760

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X18129 (TN)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

5 other providers at this address

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About NPI 1164448239

Randolph Harlen Robertson, MD's National Provider Identifier is 1164448239, issued on Jul 14, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Fort Wayne, IN. The record was last updated on Feb 15, 2016.