Organization
JENNIFER B. ROBERTS, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ROBERTS MD (MD)
(405) 310-3843
Entity
Organization
Contact information
Practice address
2413 PALMER CIR, NORMAN, OK 73069-6301
(405) 310-3843
(405) 321-5348
Mailing address
PO BOX 248855, OKLAHOMA CITY, OK 73124-8855
(405) 310-3843
(405) 321-5348
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25719
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871799619
INDIVIDUAL NPI
OK
Enumeration date
09/06/2011
Last updated
08/07/2017
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