Individual
ROGER W ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1301 W 12TH AVE STE 301, EMPORIA, KS 66801-2590
(620) 343-2376
Mailing address
1201 W 12TH AVE, EMPORIA, KS 66801-2504
(620) 343-6800
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0317701
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060030783
RAILROAD MEDICARE
—
05
—
100098630C
—
KS
Enumeration date
04/10/2006
Last updated
01/16/2015
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