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Individual
DR. JAMES GREGORY ROBERTS
Active
Individual
DR. JAMES GREGORY ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., R.V.T. FACS
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD60422790
WA
2086S0129X
Vascular Surgery Physician
61178
AZ
2086S0129X
Vascular Surgery Physician
Primary
CDR.0001339
CO
2086S0129X
Vascular Surgery Physician
MC-0454
ID
2086S0129X
Vascular Surgery Physician
MD60422790
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061707311
—
TN
05
—
091474
—
AZ
01
—
1212093
CHA HEALTH
TN
01
—
325383
STATE L&I
WA
01
—
4069830
BLUE CROSS BLUE SHIELD
TN
01
—
61178
AZ LICENSE
AZ
01
—
TN0101
JOHN DEERE HEALTH
TN
Enumeration date
06/20/2005
Last updated
02/20/2025
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