Individual
DR. DEBRA ANN ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225 PHYSICIANS PARK STE 400, POPLAR BLUFF, MO 63901-3923
(573) 727-5500
(573) 727-5599
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
105000
MO
208000000X
Pediatrics Physician
MD105000
MO
208D00000X
General Practice Physician
105000
MO
208D00000X
General Practice Physician
MD105000
MO
Other
Enumeration date
11/01/2006
Last updated
02/09/2023
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