Susan K. Roberts M.D.

NPI 1063417954 - Family Medicine - 207Q00000X

NPI Details
NPI 1063417954
Gender Female
Enumeration Date 06/16/2005
Last Updated 12/01/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
1842 SUGARLAND DR
SUITE 101
SHERIDAN WY, 82801-5719, US
Phone (307) 673-4960
Fax (307) 673-4951
Business Location
1842 SUGARLAND DR
SUITE 101
SHERIDAN WY, 82801-5719, US
Phone (307) 673-4960
Fax (307) 673-4951
Toxanomy
Taxonomy Code 207Q00000X
License State Wyoming
License Number 6397A
Remove 1063417954 NPI Number
 

According to our database, Dr. Susan K. Roberts M.D. NPI is 1063417954, taxonomy code is 207Q00000X and license number is 6397A, license state is located at Wyoming. Susan K. Roberts M.D. physically located at 1842 Sugarland Dr, Sheridan WY, 82801-5719. NPI Number Susan K. Roberts M.D. has the Individual type.

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1063417954 NPI number is provided on an as is basis without warranty of any kind. 1063417954 is maintained by the National Plan & Provider Enumeration System. The contents of Susan K. Roberts M.D. are for informational purposes only.