Individual
MR. JOHN SHERMAN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
2121 EUCLID AVE, HELENA, MT 59601-1507
(406) 443-7743
Mailing address
2121 EUCLID AVE, HELENA, MT 59601-1507
(406) 443-7743
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
510640
—
MT
Enumeration date
04/18/2006
Last updated
07/19/2007
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