Individual
NATALIE MARIE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
159 N MAIN ST, MANTI, UT 84642-1257
(435) 835-3344
Mailing address
HC 13 BOX 4325, WALES, UT 84667-5002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6599981-1206
UT
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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