Individual
DR. JEAN LANGLEY ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(765) 282-8991
(765) 284-7813
Mailing address
804 W UNIVERSITY AVE, MUNCIE, IN 47303-3863
(765) 216-7345
(765) 216-7379
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11013788A
IN
208M00000X
Hospitalist Physician
01067670A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001074965
ANTHEM
IN
05
—
200995060
—
IN
01
—
P00874039
RR MEDICARE
IN
Enumeration date
07/12/2007
Last updated
04/20/2017
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