Individual
MR. HOWARD WILLIAM ROBERTS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 983-3361
(505) 913-5210
Mailing address
PO BOX 5740, SANTA FE, NM 87502-5740
(503) 680-0499
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
56303
NM
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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