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NPI Code Detail

MEDICARE: JOEL ROBERTS M.D.

MEDICARE: JOEL ROBERTS M.D.
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
1207Q00000XFamily Medicine PhysicianMD60963491WA

General Provider Information

NPI Number : 1932634706
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOEL ROBERTS M.D.
Provider Business Mailing Address
First Line : 1111 S 2ND AVE
Second Line :
City : WALLA WALLA
State : WA
Zip : 99362-4118
Country : US
Telephone Number : 509-897-3700
Fax Number :
Provider Business Practice Location Address
First Line : 1111 S 2ND AVE
Second Line :
City : WALLA WALLA
State : WA
Zip : 99362-4118
Country : US
Telephone Number : 509-897-3700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2017
Last Update Date : 02/13/2026

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