Individual
TODD ALAN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 S 16TH ST, LINCOLN, NE 68502-3704
(402) 481-8644
(402) 481-3061
Mailing address
366 196TH, PLEASANT DALE, NE 68423-9118
(402) 826-5937
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MA64654
NJ
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
24600
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10024951-00
—
NE
05
—
7152604
—
NJ
Enumeration date
06/28/2006
Last updated
05/29/2009
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