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General NPI Number Information
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NPI Number | 1689648305
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Entity Type | Individual
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Provider Name | GAYLE A ROBERTS MD
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Gender | Male
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Dates
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Enumeration Date | 02/17/2006
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Last Update Date | 10/12/2021
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Provider Practice Location Address
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Address Line | 8759 E BELL RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-1340
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Country | US
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Telephone | 480-795-6722
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Fax | 602-569-4244
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Provider Business Mailing Address
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Address Line | 2710 DOLBEER ST
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City | EUREKA
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State | CA
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Zip | 95501-4736
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 04-34644
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 22152
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 14507
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD28240
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License Number State | OR
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Taxonomy #5
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 5506
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License Number State | AL
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Taxonomy #6
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 18329
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License Number State | OK
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Taxonomy #7
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | C53213
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License Number State | CA
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