Individual
DR. RUSSELL ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1705 W MAIN ST, MESA, AZ 85201-6920
(877) 809-5092
(480) 718-9477
Mailing address
3033 N CENTRAL AVE STE 145, PHOENIX, AZ 85012-2808
(623) 583-3001
(623) 974-6721
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
006760
AZ
Other
Enumeration date
08/14/2012
Last updated
04/16/2019
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