Provider Demographics
NPI:1528220522
Name:JAMIESON, ROBERT D (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:D
Last Name:JAMIESON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 790
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-0790
Mailing Address - Country:US
Mailing Address - Phone:818-986-0200
Mailing Address - Fax:818-638-5762
Practice Address - Street 1:151 N SUNRISE AVE
Practice Address - Street 2:STE 1005
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-2930
Practice Address - Country:US
Practice Address - Phone:213-484-7600
Practice Address - Fax:213-484-7680
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2017-11-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101017617207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery