Individual
AMY ELIZABETH ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
272 LAMP AND LANTERN VLG, TOWN AND COUNTRY, MO 63017-8209
(636) 220-8040
(833) 396-2516
Mailing address
272 LAMP AND LANTERN VLG, TOWN AND COUNTRY, MO 63017-8209
(636) 220-8040
(833) 396-2516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2018024522
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200522690
—
IN
Enumeration date
01/04/2006
Last updated
07/29/2025
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