Individual
DR. JESSICA L ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
203 HOSPITAL DR, RATON, NM 87740-2012
(575) 445-3661
Mailing address
203 HOSPITAL DR STE 180, RATON, NM 87740-2012
(575) 445-3661
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A-1336-05
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75731827
—
NM
Enumeration date
01/20/2006
Last updated
07/21/2022
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