Individual
MRS. MARILYN MARGARET ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
CRHC, 24276 166TH ST, AIRPORT RD, EAGLE BUTTE, SD 57625-1012
(605) 964-7724
Mailing address
CHEYENNE RIVER HEALTH CENTER, 24276 166TH ST, AIRPORT RD, EAGLE BUTTE, SD 57625-1012
(605) 964-7724
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20483
CA
Other
Enumeration date
10/01/2009
Last updated
05/22/2020
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