| Roberta June Guibord, D.o., Inc. | |
|
900 W South Boundary St Suite 3-b Perrysburg OH 43551-5230 | |
| (419) 872-5556 | |
| (419) 872-5559 |
| Full Name | Roberta June Guibord, D.o., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 900 W South Boundary St, Perrysburg, Ohio |
| Authorized Official Name and Position | Roberta J. Guibord (OWNER, CEO) |
| Authorized Official Contact | 4198725556 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roberta June Guibord, D.o., Inc. 900 W South Boundary St Suite 3-b Perrysburg OH 43551-5230 Ph: (419) 872-5556 | Roberta June Guibord, D.o., Inc. 900 W South Boundary St Suite 3-b Perrysburg OH 43551-5230 Ph: (419) 872-5556 |
| NPI Number | 1538243704 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8921006362 |
|---|---|
| Medicare Enrollment ID | O20061120000422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538243704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34-005868-G (Ohio) | Primary |
| Provider Name | Roberta June Guibord |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881694305 PECOS PAC ID: 2668410473 Enrollment ID: I20050421001247 |
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