| Samuel K Roberts MD PC | |
|
1200 Harrison Ave Ste 121 Elkins WV 26241-3394 | |
| (304) 636-6131 | |
| (304) 637-5203 |
| Full Name | Samuel K Roberts MD PC |
|---|---|
| Speciality | Family Medicine |
| Location | 1200 Harrison Ave, Elkins, West Virginia |
| Authorized Official Name and Position | Samuel Kump Roberts (OWNER MD) |
| Authorized Official Contact | 3046366131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel K Roberts MD PC 1200 Harrison Ave Ste 121 Elkins WV 26241-3394 Ph: (304) 636-6131 | Samuel K Roberts MD PC 1200 Harrison Ave Ste 121 Elkins WV 26241-3394 Ph: (304) 636-6131 |
| NPI Number | 1457333403 |
|---|---|
| Provider Enumeration Date | 11/16/2005 |
| Last Update Date | 02/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457333403 | NPI | - | NPPES |
| 0055757000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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