Jerry Thomas Roberts D.P.M.

NPI 1629395405 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1629395405
Gender Male
Enumeration Date 05/03/2010
Last Updated 10/16/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
117 TRADEPARK DR
SOMERSET KY, 42503-3428, US
Phone (606) 679-2773
Fax (606) 679-4626
Business Location
117 TRADEPARK DR
SOMERSET KY, 42503-3428, US
Phone (606) 679-2773
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Jerry Thomas Roberts D.P.M. NPI is 1629395405, taxonomy code is 390200000X Jerry Thomas Roberts D.P.M. physically located at 117 Tradepark Dr, Somerset KY, 42503-3428. NPI Number Jerry Thomas Roberts D.P.M. has the Individual type.

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1629395405 NPI number is provided on an as is basis without warranty of any kind. 1629395405 is maintained by the National Plan & Provider Enumeration System. The contents of Jerry Thomas Roberts D.P.M. are for informational purposes only.