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Individual

DR. FRED FLETCHER ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5610 W 131ST TER, OVERLAND PARK, KS 66209-2925
(913) 402-9813
Mailing address
5610 W 131ST TER, OVERLAND PARK, KS 66209-2925
(913) 402-9813

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
R7219
MO
2085P0229X
Pediatric Radiology Physician
R7219
MO
2085R0202X
Diagnostic Radiology Physician
Primary
R7219
MO

Other

Enumeration date
05/31/2012
Last updated
05/31/2012
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