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Individual

DR. HENRY LEE ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
520 MARY ST STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8794
Mailing address
520 MARY ST STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8794

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01088417A
IN
208600000X
Surgery Physician
11019839A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01088417A
INDIANA STATE LICENSE NUMBER
IN
01
01088417C
INDIANA STATE CSR - ESA
IN
01
1103099717
ANTHEM BCBS
IN
05
300076033
IN
05
7100900190
KY
Enumeration date
05/02/2017
Last updated
07/01/2024
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