Individual
HERBERT ALAN ROBERRTS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
17500000X
Contact information
Practice address
1 WASHINGTON AVE STE 300, LOGAN, WV 25601-3966
(304) 792-9473
Mailing address
1 WASHINGTON AVE STE 300, LOGAN, WV 25601-3966
(304) 792-9473
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WV
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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