Individual
DR. OWEN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 LEE HWY N, PULASKI, VA 24301-2326
(540) 440-4561
(540) 440-4703
Mailing address
2400 LEE HWY N, PULASKI, VA 24301-2326
(540) 440-4561
(540) 440-4703
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101238446
VA
207RH0003X
Hematology & Oncology Physician
Primary
0101238446
VA
207RX0202X
Medical Oncology Physician
75741
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629179858
—
VA
05
—
Q109501
—
TN
Enumeration date
09/26/2006
Last updated
01/09/2026
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