Healthcare Provider Details

I. General information

NPI: 1649774449
Provider Name (Legal Business Name): DARIAN LEIGH ROBERTS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2018
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1006 COMMERCE ST
WELLSBURG WV
26070-1567
US

IV. Provider business mailing address

PO BOX 779
MORGANTOWN WV
26507-0779
US

V. Phone/Fax

Practice location:
  • Phone: 304-737-0321
  • Fax: 304-737-2979
Mailing address:
  • Phone: 304-797-6200
  • Fax: 304-797-6306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number36033
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.142848
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: