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Individual
DR. THOMAS E. ROBERTS
Active
Individual
DR. THOMAS E. ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G038535
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94-2881543
TAX IDENTIFICATION NUMBER
CA
Enumeration date
02/15/2006
Last updated
02/02/2011
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