Organization
S DWAYNE ROBERTS MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA S BOYLE (BUSINESS MANAGER)
(623) 206-9238
Entity
Organization
Contact information
Practice address
1050 E SOUTH TEMPLE, 3RD FLOOR, SALT LAKE CITY, UT 84102-1507
(801) 505-5223
Mailing address
4010 N 1100 W, PLEASANT VIEW, UT 84414-1336
(623) 206-9238
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
2764891205
UT
Other
Enumeration date
08/25/2008
Last updated
01/13/2009
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