Organization
AUDREY J ROBERTS MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY ROBERTS MD (OWNER)
(419) 306-9499
Entity
Organization
Contact information
Practice address
1100 N SAN FRANCISCO ST STE B, FLAGSTAFF, AZ 86001-3260
(928) 779-7851
(928) 213-9990
Mailing address
1100 N SAN FRANCISCO ST STE B, FLAGSTAFF, AZ 86001-3260
(928) 779-7851
(928) 213-9990
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3003228
—
UT
Enumeration date
04/19/2022
Last updated
04/19/2022
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