Individual
CHESTER CARTER ROBERTS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 778-4393
(573) 778-4304
Mailing address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 778-4393
(573) 778-4304
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
2011037573
MO
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/15/2006
Last updated
01/12/2012
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