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NPI Code Detail

MEDICARE: FRANKLIN D. ROBERTS,M.D.,P.A.

MEDICARE: FRANKLIN D. ROBERTS,M.D.,P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1173000000XLegal MedicineC-5093AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
157494OTHERARAR BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1144284720
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRANKLIN D. ROBERTS,M.D.,P.A.
Provider Business Mailing Address
First Line : 1327 N WASHINGTON
Second Line :
City : MAGNOLIA
State : AR
Zip : 71753-2067
Country : US
Telephone Number : 870-234-8430
Fax Number : 870-234-1417
Provider Business Practice Location Address
First Line : 1327 N WASHINGTON
Second Line :
City : MAGNOLIA
State : AR
Zip : 71753-2067
Country : US
Telephone Number : 870-234-8430
Fax Number : 870-234-1417
Authorized Official
Title or Position : CEO
Name : DR. FRANKLIN DOWLING ROBERTS
Credential : M.D.
Telephone Number : 870-234-8430
Provider Enumeration Date : 04/12/2006
Last Update Date : 02/15/2008

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