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Individual

RICK N. ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1375 N HAPPY VALLEY RD, NAMPA, ID 83687-5280
(208) 809-2869
(208) 809-2870
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 985-1423
(208) 955-6501

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-8183
ID
207R00000X
Internal Medicine Physician
M8183
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010032233
BLUE SHIELD
ID
01
000010032234
BLUE SHIELD
ID
01
110221065
RAILROAD MEDICARE
ID
01
41996
BLUE CROSS
ID
05
806008000
ID
01
806354700
HEALTHY CONNOCTIONS
ID
Enumeration date
10/21/2005
Last updated
04/24/2024
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