Chester Carter Roberts JR., PA-C

NPI #1154365690 in Poplar Bluff, Missouri

Provider Information

NPI Number
1154365690
Entity Type
Individual
Name
Chester Carter Roberts JR., PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
PA-C
Enumeration Date
Jun 15, 2006
Last Updated
Jan 12, 2012

Practice Location

Address
1500 N WESTWOOD BLVD
ZIP Code
63901-3318
Phone
(573) 778-4393

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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