Individual
JOYCE A ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
42121 US HWY 70, PORTALES, NM 88130-9347
(575) 356-6652
(575) 226-0099
Mailing address
PO BOX 299, PORTALES, NM 88130-9347
(575) 356-6652
(575) 226-0099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
87-277
NM
207Q00000X
Family Medicine Physician
87277
NM
207Q00000X
Family Medicine Physician
G8379
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130914807
—
NM
05
—
39857
—
NM
Enumeration date
09/14/2005
Last updated
11/26/2012
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