Free National NPI Number Registry
Carl Ray Roberts
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NPI Number Detailed Information
Provider Information:
| Name: | Carl Ray Roberts |
| Gender: | M |
| Provider License Number If Given: | 25852 |
NPI Information:
| NPI: | 1770582207 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 7/18/2005 |
| Last Update Date: | 5/13/2015 |
Provider Business Mailing Address:
| Address: | 1856 E INNOVATION PARK DR Oro Valley, AZ 85755 |
| Phone Number: | 5208257111 |
| Fax Number: | 5208181253 |
Provider Business Practice Location Address:
| Address: | 1856 E INNOVATION PARK DR Oro Valley, AZ 85755 |
| Phone Number: | 5208257111 |
| Fax Number: | 5208181253 |
Provider Taxonomy:
| Primary: | 208D00000X |
| Secondary (if any): | |
| State: | AZ |
