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NPI Code Detail

MEDICARE: DR. STEVE EDWARD ROBERTS MD

MEDICARE:  DR. STEVE EDWARD ROBERTS  MD
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
1207L00000XAnesthesiology PhysicianM8091ID

General Provider Information

NPI Number : 1013905355
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVE EDWARD ROBERTS MD
Provider Business Mailing Address
First Line : PO BOX 1517
Second Line :
City : NAMPA
State : ID
Zip : 83653-1517
Country : US
Telephone Number : 208-461-2883
Fax Number : 208-461-2953
Provider Business Practice Location Address
First Line : 1512 12TH AVE RD
Second Line :
City : NAMPA
State : ID
Zip : 83686-6008
Country : US
Telephone Number : 208-461-2883
Fax Number : 208-461-2953
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2005
Last Update Date : 07/08/2007

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Directions to “ DR. STEVE EDWARD ROBERTS MD” Practice Location

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