Individual
DR. BRUCE T ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
463 BMH PHYSICIANS OFFICE BLDG, MARYVILLE, TN 37804-5807
(865) 980-5100
(865) 980-5105
Mailing address
103 W BROADWAY AVE, MARYVILLE, TN 37801-4703
(865) 273-1752
(865) 273-1755
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
24192
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3073081
—
TN
Enumeration date
11/01/2006
Last updated
10/29/2019
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