Dr Ricky A Roberts Jr, DC | |
1701 S Florissant Rd, Saint Louis, MO 63121-1131 | |
(314) 522-0042 | |
(314) 521-8629 |
Full Name | Dr Ricky A Roberts Jr |
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Gender | Male |
Speciality | Chiropractor |
Location | 1701 S Florissant Rd, Saint Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174737167 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 2001017247 (Missouri) | Primary |
Provider Name | Accident And Injury Center Of North County. P.c. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1942544010 PECOS PAC ID: 5890932511 Enrollment ID: O20130516000159 |
Mailing Address | Practice Location Address |
---|---|
Dr Ricky A Roberts Jr, DC 12465 Old Halls Ferry Rd, Florissant, MO 63033-4201 Ph: (314) 438-1065 | Dr Ricky A Roberts Jr, DC 1701 S Florissant Rd, Saint Louis, MO 63121-1131 Ph: (314) 522-0042 |
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