Individual
SIDNEY ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14425 S BITTERBRUSH LN, DRAPER, UT 84020-9501
(801) 576-7290
Mailing address
PO BOX 250, DRAPER, UT 84020-0250
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
264843-1205
UT
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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