Individual
MATTHEW C ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
12101 WOODCREST EXECUTIVE DR STE 102, SAINT LOUIS, MO 63141-5047
(800) 427-1902
Mailing address
333 N SUMMIT ST FL 15, TOLEDO, OH 43604-2615
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2021022217
MO
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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