MEDICARE: HEIDI ROEBER 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
1	2083P0901X	Public Health & General Preventive Medicine Physician	48346	AZ
2	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician	48346	AZ

General Provider Information

NPI Number	:	1801849567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIDI ROEBER MD

Provider Business Mailing Address
First Line	:	2905 W WARNER RD STE 23
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85224-1674
Country	:	US
Telephone Number	:	602-772-3800
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 N 12TH ST STE 520
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85006-2849
Country	:	US
Telephone Number	:	602-839-4456
Fax Number	:	602-839-3182

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	05/28/2021

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Directions to “ HEIDI ROEBER MD” Practice Location

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