Individual
WILLIAM MARK ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
455 S MAIN ST, ORANGE, CA 92868-3835
(714) 532-8636
(714) 532-8699
Mailing address
455 S MAIN ST, ORANGE, CA 92868-3835
(714) 289-4511
(714) 289-4788
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
G85878
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G858780
—
CA
Enumeration date
10/10/2006
Last updated
07/08/2007
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