Individual
MARK ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1301 RICHMOND ROAD, STAUNTON, VA 24401
(540) 332-8200
(540) 332-8197
Mailing address
PO BOX 2500, STAUNTON, VA 24402-2500
(540) 332-8200
(540) 332-8197
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110000105
VA
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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