Individual
MICHAEL ANTHONY ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 HIGH RISE DR, LOUISVILLE, KY 40213-3251
(502) 451-1100
Mailing address
100 HIGH RISE DR, LOUISVILLE, KY 40213-3251
(502) 451-1100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2425
KY
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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