Individual
E CLARKE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
360 W CENTRAL AVE, SPRINGBORO, OH 45066-1106
(937) 208-7100
(937) 208-7125
Mailing address
360 W CENTRAL AVE, SPRINGBORO, OH 45066-1106
(937) 208-7100
(937) 208-7125
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50-000247
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067899
—
OH
Enumeration date
06/06/2006
Last updated
11/08/2013
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