Individual
DR. NATHAN SCOTT ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2075 GLENN MITCHELL DR STE 512, VIRGINIA BEACH, VA 23456-0179
(757) 507-8850
Mailing address
2075 GLENN MITCHELL DR STE 512, VIRGINIA BEACH, VA 23456-0179
(757) 507-8850
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0102209063
VA
208600000X
Surgery Physician
4951
OK
208600000X
Surgery Physician
OS021057
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528015401
HVMG
PA
05
—
200305150B
—
OK
01
—
358315YM2Y
MEDICARE
OK
Enumeration date
02/05/2010
Last updated
02/18/2025
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