Organization
MARK W ROBERTS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE EBRADO (CMA/MEDICAL ASSISTANT)
(916) 983-6400
Entity
Organization
Contact information
Practice address
1580 CREEKSIDE DR, SUITE NUMBER 130, FOLSOM, CA 95630-3886
(916) 983-6400
(916) 983-6011
Mailing address
1580 CREEKSIDE DR, SUITE NUMBER 130, FOLSOM, CA 95630-3886
(916) 983-6400
(916) 983-6011
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
G72120
CA
Other
Enumeration date
07/29/2008
Last updated
08/26/2008
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