Justin W. Roberts
Facial Plastic Surgeon
501 West Pine Street
Farmington
, Missouri 63640
Justin W. Roberts
Facial Plastic Surgeon
501 West Pine Street
Farmington
, Missouri 63640
(573) 701-9547
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About
Features
Specialties
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Justin W. Roberts
- 501 West Pine Street
- Farmington, MO
- Zip : 63640-1439
- Fax : (573) 701-9547
- Phone : (573) 756-8888
Second Address
- Justin W. Roberts
- 501 West Pine Street
- Farmington, MO
- Zip : 63640
- Fax : (866) 291-5617
- Phone : (573) 756-8888
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YS0123X | Facial Plastic Surgeon | 2004027799 | MO |
National Provider Identifier
| NPI | 1619057064 |
|---|---|
| Provider Name | Justin W. Roberts |
| First Address | Farmington, MO 63640-1439 |
| Second Address | Farmington, MO 63640 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/10/2006 |
| Last Update Date | 20/09/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I25247 | (02) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.