Individual
DR. JON W. ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
HIGHWAY 99 & O'BANION STREET, BIRCH TREE, MO 65438
(573) 292-3214
(573) 292-4442
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R7838
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240287201
—
MO
Enumeration date
10/19/2006
Last updated
05/09/2013
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