Individual
CHRISTOPHER W. ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1415 E. KINCAID STREET, MOUNT VERNON, WA 98274-4126
(360) 424-4111
Mailing address
1415 E. KINCAID STREET, MOUNT VERNON, WA 98274-4126
(360) 424-4111
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
C10004212
DE
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD060013009
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8513988
—
WA
Enumeration date
08/07/2006
Last updated
10/23/2008
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