Organization
MELISSA DIRST-ROBERTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA DIRST-ROBERTS MD (SOLE MBR)
(870) 424-3181
Entity
Organization
Contact information
Practice address
860 HIGHWAY 62 E STE 10, MOUNTAIN HOME, AR 72653-3200
(870) 424-3181
(870) 424-3089
Mailing address
860 HIGHWAY 62 E STE 10, MOUNTAIN HOME, AR 72653-3200
(870) 424-3181
(870) 424-3181
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234235002
—
AR
01
—
798944
MEDICARE
AR
Enumeration date
04/06/2019
Last updated
03/18/2020
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