Provider Demographics
NPI:1134261944
Name:ROBERTSON, VALERIE JEAN (MD)
Entity type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:JEAN
Last Name:ROBERTSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7717 N HARTMAN LN
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85743-9506
Mailing Address - Country:US
Mailing Address - Phone:520-744-6121
Mailing Address - Fax:520-572-7138
Practice Address - Street 1:7717 N HARTMAN LN
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85743-9506
Practice Address - Country:US
Practice Address - Phone:520-744-6121
Practice Address - Fax:520-572-7138
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ454152085R0202X
CAA544662085R0202X
IL036.171822085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A544660Medicare ID - Type Unspecified
E35385Medicare UPIN
AZZ171230Medicare PIN
CAWA54466BMedicare ID - Type Unspecified