Individual
MR. ZACHARY C ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
MSU ATHLETIC TRAINING SERVICES, 901 S. NATIONAL AVE., SPRINGFIELD, MO 65897-0001
(417) 836-5336
Mailing address
820 E MONTCLAIR ST, APT. #217, SPRINGFIELD, MO 65807-7513
(573) 579-8702
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2008009715
MO
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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