| Roberts And Roberts Family Practice Llc | |
|
1735 27th St Ste 206 Portsmouth OH 45662-2679 | |
| (740) 354-7600 | |
| (740) 354-7654 |
| Full Name | Roberts And Roberts Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1735 27th St Ste 206, Portsmouth, Ohio |
| Authorized Official Name and Position | Philip M Roberts (MBR) |
| Authorized Official Contact | 7403547600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roberts And Roberts Family Practice Llc 1735 27th St Ste 206 Portsmouth OH 45662-2679 Ph: (740) 354-7600 | Roberts And Roberts Family Practice Llc 1735 27th St Ste 206 Portsmouth OH 45662-2679 Ph: (740) 354-7600 |
| NPI Number | 1780997155 |
|---|---|
| Provider Enumeration Date | 07/14/2010 |
| Last Update Date | 07/19/2024 |
| Medicare PECOS PAC ID | 1355536079 |
|---|---|
| Medicare Enrollment ID | O20101108001077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780997155 | NPI | - | NPPES |
| 3083345 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Philip M Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548474638 PECOS PAC ID: 3274632542 Enrollment ID: I20070627000396 |
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