Individual
GRANT A ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3525 OLENTANGY RIVER RD, SUITE 5300, COLUMBUS, OH 43214-3937
(614) 566-3500
(614) 533-0150
Mailing address
5400 FRANTZ RD, SUITE 250, DUBLIN, OH 43016-4144
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50-003557
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073501
—
OH
Enumeration date
06/11/2012
Last updated
03/15/2016
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