# JARED ROBERTS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1225487663
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 036156090 | IL | Yes |
| 207L00000X | Anesthesiology Physician | 2024034940 | MO | — |
| 207R00000X | Internal Medicine Physician | 94-09014 | KS | — |

## Other

- **Enumeration date:** 06/07/2016
- **Last updated:** 09/18/2024