Individual
STEPHANIE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10390 COLOMA RD, #B, RANCHO CORDOVA, CA 95670-2152
(916) 363-2229
Mailing address
10390 COLOMA RD, #B, RANCHO CORDOVA, CA 95670-2152
(916) 363-2229
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
G82261
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0929929
—
CA
Enumeration date
11/22/2006
Last updated
04/11/2015
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