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Individual

DONALD L ROBERTS

Active
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Individual

DONALD L ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101057529
VA
207R00000X
Internal Medicine Physician
Primary
0101057529
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1467553776
VA
05
64045420
KY
05
7617290
NC
Enumeration date
09/26/2006
Last updated
05/23/2011
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