Roberts, Mark Ian

Roberts, Mark Ian is an individual health care provider with primary practice located at 401 Burro Aly , Morenci AZ 85540-9647. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Roberts, Mark Ian can be contacted via phone (928) 865-7501.

Contact Information

Primary practice address
401 Burro Aly Morenci AZ 85540-9647
Phone: (928) 865-7501
Fax: (928) 865-9186
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X C10006136 Delaware
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 45322 Arizona

Profile Details

NPI number 1457330383
LBN Legal business name Roberts, Mark Ian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Mar 7th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457330383 NPPES
Delaware MEDICAID 0001111501
Delaware MEDICAID 001111501

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