Individual
DALE M. ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 ABRAHAM FLEXNER WAY, SUITE 1105, LOUISVILLE, KY 40202-3841
(502) 581-9223
(502) 581-9225
Mailing address
201 ABRAHAM FLEXNER WAY, SUITE 1105, LOUISVILLE, KY 40202-3841
(502) 581-9223
(502) 581-9225
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
22615
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000043697
ANTHEM BCBS
—
05
—
100009950
—
IN
05
—
64226152
—
KY
Enumeration date
05/06/2006
Last updated
10/02/2008
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