Individual
DR. GARY FRANK ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1279 OLD ABBOTT MOUNTAIN RD, PRESTONSBURG, KY 41653-1889
(606) 886-0892
(606) 886-9746
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-9565
(606) 408-6061
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
1374
WV
207RC0000X
Cardiovascular Disease Physician
Primary
TP824
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0045175000
—
WV
Enumeration date
04/05/2006
Last updated
12/26/2019
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