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Individual

MARTIN ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
900 EAST BROADWAY, ST ALEXIUS HEALTH, BISMARCK, ND 58506
(701) 530-7000
Mailing address
9 MAYFLOWER CT E, HOMOSASSA, FL 34446-4977
(352) 476-2607

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
10452
NH
207R00000X
Internal Medicine Physician
2001-89
NM
207R00000X
Internal Medicine Physician
Primary
ME0088383
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01Y013580NH01
ANTHEM BC BS
NH
05
274736700
FL
05
30200030
NH
01
34097
BLUE SHIELD
FL
01
AA121351
HARVARD NH
NH
05
G1448
NM
Enumeration date
04/25/2006
Last updated
06/06/2018
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