Individual
DR. MICAH JAMES ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3838 SAN DIMAS ST STE B201, BAKERSFIELD, CA 93301-1496
(661) 321-3161
(661) 321-3166
Mailing address
3400 DATA DR, ATTN: CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
13291
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
20A13291
CA
Other
Enumeration date
02/25/2008
Last updated
03/30/2022
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