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Clayton Charles Roberts, SA-C

Specialist/Technologist, Other, Surgical Assistant in Alexandria, LA. Individual provider (NPI-1).

NPI number1043715212
StatusActive
Last updated in NPPESMar 29, 2018

Details

NPI
1043715212
Entity type
Individual (NPI-1)
Name
Clayton Charles Roberts
Credential
SA-C
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 28, 2018
Last updated
Mar 29, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZC0007X Specialist/Technologist, Other, Surgical Assistant––Yes

Practice location

3311 Prescott Rd Ste 202
Alexandria, LA 71301-3983

Phone 318-442-0106 · Fax 318-448-8918

Mailing address

3311 Prescott Rd Ste 202
Alexandria, LA 71301-3983

Phone 318-442-0106 · Fax 318-448-8918

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