Individual
DR. PHILIP GWYNNE ROBERTS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
576 E SHADOW LN, STATE COLLEGE, PA 16803-1227
(814) 238-5801
Mailing address
576 E SHADOW LN, STATE COLLEGE, PA 16803-1227
(814) 238-5801
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD008817E
PA
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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