# JARED M ROBERTS, MD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104263847
- **Authorized official:** DR. JARED M ROBERTS M.D. (OWNER)
- **Authorized official phone:** (405) 329-4304

## Contact information

- **Practice address:** 1407 N PORTER AVE, NORMAN, OK 73071-6659
- **Practice address phone:** (405) 329-4304
- **Practice address fax:** (405) 366-8993
- **Mailing address:** 1407 N PORTER AVE, NORMAN, OK 73071-6659
- **Mailing address phone:** (405) 329-4304
- **Mailing address fax:** (405) 366-8993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 29763 | OK | Yes |

## Other

- **Enumeration date:** 06/03/2013
- **Last updated:** 06/03/2013