Organization
ROBERTS CHIROPRACTIC,PLLC
Active
Other names
Roger W. Roberts, D.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERICA LARIMER (OFFICE MANAGER)
(520) 452-1490
Entity
Organization
Contact information
Practice address
1819 PASEO SAN LUIS, SIERRA VISTA, AZ 85635-4613
(520) 452-1490
(520) 452-9797
Mailing address
1819 PASEO SAN LUIS, SIERRA VISTA, AZ 85635-4613
(520) 452-1490
(520) 452-9797
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5348
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1937602856
FIRST HEALTH
AZ
01
—
23025348
WC STATE FUND
AZ
01
—
5258158
CCN
AZ
01
—
612607200
OWCP
AZ
01
—
AZ0240640
BLUE CROSS BLUE SHIELD
AZ
01
—
DF9565
RAILROAD MEDICARE
AZ
Enumeration date
12/22/2006
Last updated
05/02/2017
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