Individual
GALE E ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2004 W MARLER LN, OZARK, MO 65721-7661
(417) 581-3006
(417) 581-3009
Mailing address
3800 S NATIONAL AVE, #540, SPRINGFIELD, MO 65807-5209
(417) 269-5712
(417) 269-4869
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN083179
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
182220
BLUE CROSS OF MO
—
05
—
429808314
—
MO
Enumeration date
10/04/2006
Last updated
05/03/2011
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