Organization
SAMUEL K ROBERTS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL KUMP ROBERTS MD (OWNER MD)
(304) 636-6131
Entity
Organization
Contact information
Practice address
1200 HARRISON AVE, STE 121, ELKINS, WV 26241-3394
(304) 636-6131
(304) 637-5203
Mailing address
1200 HARRISON AVE, STE 121, ELKINS, WV 26241-3394
(304) 636-6131
(304) 637-5203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055757000
—
WV
Enumeration date
11/16/2005
Last updated
02/03/2012
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