Organization
ROBERTS ORTHOTICS & PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY L. ROBERTS BOCOP (OWNER)
(724) 627-4600
Entity
Organization
Contact information
Practice address
244 ELM DR, SUITE 104, WAYNESBURG, PA 15370-8269
(724) 627-4600
(724) 627-4606
Mailing address
244 ELM DR, SUITE 104, WAYNESBURG, PA 15370-8269
(724) 627-4600
(724) 627-4606
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001823780002
—
PA
05
—
123485
—
PA
01
—
219555
BLUE CROSS/BLUE SHIELD
PA
05
—
6204003000
—
WV
Enumeration date
04/19/2006
Last updated
04/18/2017
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