Stephanie Roberts, PA

NPI #1144393257 in Shoshone, Idaho

Provider Information

NPI Number
1144393257
Entity Type
Individual
Name
Stephanie Roberts, PA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Credential
PA
Enumeration Date
Nov 16, 2006
Last Updated
Mar 13, 2008

Practice Location

Address
113 S APPLE ST
State
Idaho
ZIP Code
83352-5287
Phone
(208) 886-2224

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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