Individual
MR. DAREL EDWARD ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
65 S PLAZA WAY, CAPE GIRARDEAU, MO 63703-5808
(573) 334-7700
Mailing address
65 PLAZA WAY, CAPE GIRARDEAU, MO 63703
(573) 334-7700
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
342330206
—
MO
Enumeration date
04/11/2011
Last updated
04/11/2011
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