Individual
PAMELA R ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
750 NE 13TH ST, OKLAHOMA CITY, OK 73104-5010
(405) 271-4351
(405) 271-1216
Mailing address
PO BOX 53188, OKLAHOMA CITY, OK 73152-3188
(405) 271-4351
(405) 271-1216
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
24788
OK
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35479
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200079080A
—
OK
01
—
242627803
MEDICARE OK
OK
Enumeration date
12/13/2005
Last updated
01/20/2012
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