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Michael T Roberts, crna

Nurse Anesthetist, Certified Registered in Concord, NC. Individual provider (NPI-1).

NPI number1104846401
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1104846401
Entity type
Individual (NPI-1)
Name
Mr. Michael T Roberts
Credential
crna
Sex
Male
Sole proprietor
No
Enumeration date
Jul 20, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered062412NCYes

Practice location

920 Church St N
Concord, NC 28025-2927

Phone 704-783-1622 · Fax 704-783-2527

Mailing address

1711 Azalea Ave
Kannapolis, NC 28081-5807

Phone 704-783-1622 · Fax 704-783-2527

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