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NPI Code Detail

MEDICARE: THOMAS COURTNEY ROBERTS MD

MEDICARE: THOMAS COURTNEY 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
1207Q00000XFamily Medicine Physician35062941OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568429686
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS COURTNEY ROBERTS MD
Provider Business Mailing Address
First Line : 5 E LIBERTY ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-8202
Country : US
Telephone Number : 513-381-2247
Fax Number : 513-381-2256
Provider Business Practice Location Address
First Line : 5 E LIBERTY ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-8202
Country : US
Telephone Number : 513-381-2247
Fax Number : 513-381-2256
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2006
Last Update Date : 08/30/2011

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Directions to “ THOMAS COURTNEY ROBERTS MD” Practice Location

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