Individual
DR. AMANDA MICHELLE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2644 NW 63RD ST, OKLAHOMA CITY, OK 73116-4902
(405) 254-5565
(405) 254-5569
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0101259069
VA
207N00000X
Dermatology Physician
36156
OK
207N00000X
Dermatology Physician
Primary
65007
AZ
208D00000X
General Practice Physician
0101259069
VA
Other
Enumeration date
02/10/2014
Last updated
03/17/2026
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