Individual
STEPHEN MICHAEL ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4370 W MAIN ST, DOTHAN, AL 36305-1056
(615) 928-6268
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35.131704
OH
207P00000X
Emergency Medicine Physician
Primary
38264
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000835238E
—
GA
05
—
009941819
—
AL
05
—
05873366
—
MS
05
—
232902
—
SC
01
—
3072473
BLUE CROSS
TN
01
—
3094174
BLUE CROSS
TN
05
—
3809726
—
TN
05
—
3809727
—
TN
05
—
3809728
—
TN
01
—
50003547
PASSPORT HEALTH
KY
05
—
64004096
—
KY
01
—
P00101677
MEDICARE RAILROAD
TN
01
—
P00233191
MEDICARE RAILROAD
TN
01
—
P00292503
MEDICARE RAILROAD
TN
05
—
PENDING
—
OH
Enumeration date
06/09/2006
Last updated
02/09/2024
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