Individual
PAUL RUSSELL ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
990 S MADISON ST STE 1, TUPELO, MS 38801-6308
(662) 377-4077
Mailing address
990 S MADISON ST STE 1, TUPELO, MS 38801-6308
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
31784
MS
Other
Enumeration date
07/02/2018
Last updated
08/21/2023
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