Individual
ANTHONY ORVILLE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D41973
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198776
AMERIGROUP
MD
01
—
443098
ALLIANCE/MAMSI
MD
05
—
453691600
—
MD
01
—
766551
AETNA
MD
01
—
F199 0001
CAREFIRST BCBS
MD
Enumeration date
10/10/2006
Last updated
07/08/2007
Update your record
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