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Individual

ANDREW B. ROBERTS

Active
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Individual

ANDREW B. ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
52254
CO
208VP0014X
Interventional Pain Medicine Physician
Primary
56140
AZ
208VP0014X
Interventional Pain Medicine Physician
62254
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
56140
ARIZONA MEDICAL LICENSE
AZ
Enumeration date
11/15/2006
Last updated
11/27/2023
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