Provider Demographics
NPI:1851330104
Name:ROBERTSON, WILLIAM SCOTT III (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:SCOTT
Last Name:ROBERTSON
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:W.
Other - Middle Name:SCOTT
Other - Last Name:ROBERTSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3099 N CIVIC CENTER PLZ
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6903
Mailing Address - Country:US
Mailing Address - Phone:480-945-3535
Mailing Address - Fax:480-994-8179
Practice Address - Street 1:3099 N CIVIC CENTER PLZ
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6903
Practice Address - Country:US
Practice Address - Phone:480-945-3535
Practice Address - Fax:480-994-8179
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ13432207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ4136914OtherAETNA
AZ1Z2574OtherHEALTHNET
AZ2500419OtherUNITEDHEALTHCARE
AZ2015406OtherCIGNA
AZAZ0360070OtherBCBS AZ
AZ2015406OtherCIGNA
AZE39302Medicare UPIN