Individual
DENNIS ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5835 S PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73119-7001
(405) 604-9595
(405) 634-7577
Mailing address
5835 S PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73119-7001
(405) 604-9595
(405) 634-7577
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17909
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100064450A
—
OK
05
—
100064450C
—
OK
Enumeration date
06/16/2006
Last updated
05/12/2014
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