NPI Code Details Logo

NPI 1760045702

NPI 1760045702 : STEVEN ROBERTS DO : MISSOULA, MT

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1760045702
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    STEVEN ROBERTS DO
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/16/2019
-----------------------------------------------------
    Last Update Date     |    06/17/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2740 SOUTH AVE W STE 201 
-----------------------------------------------------
    City                 |    MISSOULA
-----------------------------------------------------
    State                |    MT
-----------------------------------------------------
    Zip                  |    59804-5137
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    406-541-7246
-----------------------------------------------------
    Fax                  |    406-721-8298
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2740 SOUTH AVE W STE 201 
-----------------------------------------------------
    City                 |    MISSOULA
-----------------------------------------------------
    State                |    MT
-----------------------------------------------------
    Zip                  |    59804-5137
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    406-541-7246
-----------------------------------------------------
    Fax                  |    406-721-8298
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207L00000X
-----------------------------------------------------
    Taxonomy Name        |    Anesthesiology Physician
-----------------------------------------------------
    License Number       |    U2996
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.