Audrey J Roberts Md Pllc

LBN: Audrey J Roberts Md Pllc
Audrey J Roberts Md Pllc is an health care organization with primary practice located at 1100 N San Francisco St Ste B , Flagstaff AZ 86001-3260. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Audrey J Roberts Md Pllc can be contacted via phone (928) 779-7851, or through Roberts, Audrey via phone (419) 306-9499.

Contact Information

Primary practice address
1100 N San Francisco St Ste B Flagstaff AZ 86001-3260
Phone: (928) 779-7851
Fax: (928) 213-9990
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Audrey Doctor of Medicine (MD)
Phone: (419) 306-9499

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1295478956
LBN Legal business name Audrey J Roberts Md Pllc
DBA Doing business as
Authorized official Roberts, Audrey Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2022
Last updated Apr 19th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295478956 NPPES
Utah MEDICAID 3003228

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