Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHESTER CARTER ROBERTS JR., PA-C
ActiveCHESTER CARTER ROBERTS JR., PA-C is a Surgical Physician Assistant healthcare provider located in POPLAR BLUFF, Missouri. NPI 1154365690 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · POPLAR BLUFF, MO
Registration Details
- NPI Number
- 1154365690
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2006 (20.20086783963 yrs)
- Last Updated
- Jan 12, 2012
- License
-
2011037573 (MO)
Practice Information
- Address
-
1500 N WESTWOOD BLVDPOPLAR BLUFF, MO, 639013318Browse MO providers · Browse ZIP 63901
- Phone
- 5737784393
- Fax
- 5737784304
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.