| Jeffrey N. Roberts Md A Medical Corporation | |
|
400 N Pepper Ave Colton CA 92324-1801 | |
| (909) 223-0338 | |
| (909) 580-1440 |
| Full Name | Jeffrey N. Roberts Md A Medical Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 N Pepper Ave, Colton, California |
| Authorized Official Name and Position | Jeffrey Neil Roberts (PRESIDENT) |
| Authorized Official Contact | 9092230338 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey N. Roberts Md A Medical Corporation 2580 Vista Ct Norco CA 92860-2495 Ph: (909) 223-0338 | Jeffrey N. Roberts Md A Medical Corporation 400 N Pepper Ave Colton CA 92324-1801 Ph: (909) 223-0338 |
| NPI Number | 1780206813 |
|---|---|
| Provider Enumeration Date | 05/12/2020 |
| Last Update Date | 12/10/2020 |
| Medicare PECOS PAC ID | 5294149720 |
|---|---|
| Medicare Enrollment ID | O20210125002161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780206813 | NPI | - | NPPES |
| Provider Name | Jeffrey N Roberts |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225145915 PECOS PAC ID: 5597659870 Enrollment ID: I20040708001476 |
| Provider Name | Carolyn M Doherty |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1003862350 PECOS PAC ID: 8325059611 Enrollment ID: I20140509002165 |
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