Individual
STEPHANIE LYNNE ROBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D,O.
Contact information
Practice address
1735 27TH ST, WALLER BLDG, SUITE B 06, PORTSMOUTH, OH 45662-2677
(740) 356-8051
Mailing address
1735 27TH ST, WALLER BLDG, SUITE B 06, PORTSMOUTH, OH 45662-2677
(740) 356-5081
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
58004387
OH
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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