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Individual
CHARLES N. ROBERTS
Active
Individual
CHARLES N. ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00036933
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8240764
—
WA
05
—
9611674
—
WA
01
—
GAB10984
MDC PIN #
WA
01
—
MD00036933
LICENCE
WA
Enumeration date
01/29/2007
Last updated
03/07/2023
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