Individual
JANIS A ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4160 LITTLE YORK RD, STE. 20, DAYTON, OH 45414-5800
(937) 454-9527
(937) 454-9532
Mailing address
1 PRESTIGE PL, SUITE 550, MIAMISBURG, OH 45342-3794
(937) 752-2305
(937) 522-7513
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
34006027
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000009263
ANTHEM
OH
05
—
0982594
—
OH
Enumeration date
07/15/2005
Last updated
01/07/2015
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