Individual
MR. MATTHEW OWEN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
809 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401-2029
(205) 759-7111
Mailing address
9705 ANCHOR DR, TUSCALOOSA, AL 35406-5032
(205) 602-6470
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-124775
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
1-124775
AL
Other
Enumeration date
12/20/2017
Last updated
01/11/2018
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