Individual
SHELBY S ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9500 EUCLID AVE, A10, CLEVELAND, OH 44195-0001
(216) 218-6788
Mailing address
2807 TONAWANDA DR, ROCKY RIVER, OH 44116-3034
(336) 414-7442
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.003498
IL
363AS0400X
Surgical Physician Assistant
Primary
003285
OH
363AS0400X
Surgical Physician Assistant
245256
NY
Other
Enumeration date
10/09/2007
Last updated
09/15/2011
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