Individual
CARL RAY ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1856 E INNOVATION PARK DR, ORO VALLEY, AZ 85755-1963
(520) 825-7111
(520) 818-1253
Mailing address
1856 E INNOVATION PARK DR, ORO VALLEY, AZ 85755-1963
(520) 825-7111
(520) 818-1253
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
25852
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400648003
—
AZ
Enumeration date
07/18/2005
Last updated
05/13/2015
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