Individual
MABLE MOY ROBERTS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2123 AUBURN AVE, SUITE 724, CINCINNATI, OH 45219-2906
(513) 241-4774
(513) 241-1682
Mailing address
2123 AUBURN AVE, SUITE 724, CINCINNATI, OH 45219-2906
(513) 241-4774
(513) 241-1682
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
3574491R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2061076
—
OH
Enumeration date
09/07/2005
Last updated
07/08/2007
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