Douglas E Roberts Jr MD A Professional Corporation
Internal Medicine in Ridgecrest, CA. Organization (NPI-2).
NPI number1386899268
StatusActive
Last updated in NPPESOct 30, 2014
Details
- NPI
- 1386899268
- Entity type
- Organization (NPI-2)
- Legal business name
- Douglas E Roberts Jr MD A Professional Corporation
- Organization subpart
- No
- Enumeration date
- Nov 19, 2008
- Last updated
- Oct 30, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Other names
- Heather Stone Medical Clinic (Doing Business As)
Practice location
900 N Heritage DrBldg E
Ridgecrest, CA 93555-5536
Phone 760-446-4571
Mailing address
900 N Heritage DrBldg E
Ridgecrest, CA 93555-5536
Phone 760-446-4571
Authorized official
Douglas Emanuel Roberts
President
7604464571
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