Healthcare Provider Details

I. General information

NPI: 1871814459
Provider Name (Legal Business Name): CHRISTOPHER ASHLEY ROBERTS D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2010
Last Update Date: 04/24/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HQ MEDDACB UNIT 28037 BLD 700
APO AE
09112
US

IV. Provider business mailing address

LANDSTUHL REGIONAL MEDICAL CENTER (GERMANY) BLDG 3766, WING 15, RM 219
APO AE
09180
US

V. Phone/Fax

Practice location:
  • Phone: 314-590-2368
  • Fax:
Mailing address:
  • Phone: 314-590-7163
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDOS-2484-0
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: