Individual
JARED RICHARD ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
629D LOWTHER RD, LEWISBERRY, PA 17339-9527
(717) 932-5200
Mailing address
629D LOWTHER RD, LEWISBERRY, PA 17339-9527
(717) 932-5200
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
OS022672
PA
390200000X
Student in an Organized Health Care Education/Training Program
OT018381
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/14/2017
Last updated
05/09/2023
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