Organization
JEFFREY N. ROBERTS MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY NEIL ROBERTS MD (PRESIDENT)
(909) 223-0338
Entity
Organization
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 223-0338
(909) 580-1440
Mailing address
2580 VISTA CT, NORCO, CA 92860-2495
(909) 223-0338
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
207Y00000X
Otolaryngology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
12/10/2020
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