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Individual

JOHN EWELL ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1200 N STATE ST, LOS ANGELES, CA 90033-1029
(662) 832-4562
Mailing address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2171

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A128224
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1104189067
NC
05
NC2793
SC
Enumeration date
06/15/2012
Last updated
10/20/2016
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