Individual
JUSTIN W. ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
501 WEST PINE STREET, FARMINGTON, MO 63640
(573) 756-8888
(866) 291-5617
Mailing address
501 W PINE ST, FARMINGTON, MO 63640-1439
(573) 756-8888
(573) 701-9547
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
2004027799
MO
207YS0123X
Facial Plastic Surgery Physician
Primary
2004027799
MO
Other
Enumeration date
10/17/2006
Last updated
02/26/2026
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