Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STANLEY DWAYNE ROBERTS, MD
ActiveSTANLEY DWAYNE ROBERTS, MD is a Sports Medicine healthcare provider located in SALEM, Utah. NPI 1316993520 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · SALEM, UT
Registration Details
- NPI Number
- 1316993520
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 26, 2006 (20.174844418186 yrs)
- Last Updated
- May 9, 2012
- Licenses
-
276489 (UT)276489-1205 (UT)
Practice Information
- Address
-
118 N MAIN STSTE BSALEM, UT, 846535698Browse UT providers · Browse ZIP 84653
- Phone
- 8014779007
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
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.