E. Dwain Roberts M.D.

NPI 1013997782 - Radiology - 2085N0904X

NPI Details
NPI 1013997782
Gender Male
Enumeration Date 01/19/2006
Last Updated 08/19/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
1241 W STADIUM BLVD
JEFFERSON CITY MO, 65109-6023, US
Phone (573) 556-7755
Fax (573) 761-3599
Business Location
PO BOX 104240
JEFFERSON CITY MO, 65110-4240, US
Phone (573) 556-7755
Fax (573) 761-3599
Toxanomy
Taxonomy Code 2085N0904X
License State Missouri
License Number 114884
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According to our database, Dr. E. Dwain Roberts M.D. NPI is 1013997782, taxonomy code is 2085N0904X and license number is 114884, license state is located at Missouri. E. Dwain Roberts M.D. physically located at 1241 W Stadium Blvd, Jefferson City MO, 65109-6023. NPI Number E. Dwain Roberts M.D. has the Individual type.

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1013997782 NPI number is provided on an as is basis without warranty of any kind. 1013997782 is maintained by the National Plan & Provider Enumeration System. The contents of E. Dwain Roberts M.D. are for informational purposes only.