Individual
MR. ERIC DANIEL ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
111 N NAPPANEE ST, ELKHART, IN 46514
(574) 522-0265
Mailing address
111 N NAPPANEE ST, ELKHART, IN 46514-1957
(574) 522-0265
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002359A
IN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/24/2014
Last updated
11/11/2018
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