Individual
DR. TIMOTHY E ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
495 SW RAMSEY AVE., GRANTS PASS, OR 97527
(541) 476-6644
(541) 472-5673
Mailing address
495 SW RAMSEY AVE., GRANTS PASS, OR 97527
(541) 476-6644
(541) 472-5673
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD23168
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287275
—
OR
Enumeration date
06/23/2005
Last updated
07/08/2007
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