Individual
MARIA DOLORES ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 SAINT ANN DR STE B, MANDEVILLE, LA 70471
(985) 898-4001
(985) 626-9618
Mailing address
201 SAINT ANN DR STE B, MANDEVILLE, LA 70471-3472
(985) 898-4001
(985) 626-9618
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
308242
LA
207Q00000X
Family Medicine Physician
MD53849
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q022043
—
TN
Enumeration date
05/20/2013
Last updated
01/30/2019
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