Stanley Dwayne Roberts
Emergency Medical Services Family Doctor - Sports Medicine
118 N Main St Ste B
Salem
, Utah 84653-5698
Stanley Dwayne Roberts
Emergency Medical Services Family Doctor - Sports Medicine
118 N Main St Ste B
Salem
, Utah 84653-5698
(616) 975-9824
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About
Features
Specialties
- Emergency Medical Services
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Stanley Dwayne Roberts
- Po Box 10
- Spanish Fork, UT
- Zip : 84660-0010
- Fax : (616) 975-9824
- Phone : (866) 898-7136
Second Address
- Stanley Dwayne Roberts
- 118 N Main St Ste B
- Salem, UT
- Zip : 84653-5698
- Phone : (801) 477-9007
Reviews
FAQs
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What type of doctor is Stanley Dwayne Roberts
In what state does Stanley Dwayne Roberts practice in?
Where is Stanley Dwayne Roberts ’s practice located?
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Is Stanley Dwayne Roberts a sole practitioner?
Is Stanley Dwayne Roberts accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207PE0004X | Emergency Medical Services | 276489 | UT |
| Y | 207QS0010X | Family Doctor - Sports Medicine | 276489-1205 | UT |
National Provider Identifier
| NPI | 1316993520 |
|---|---|
| Provider Name | Stanley Dwayne Roberts |
| First Address | Spanish Fork, UT 84660-0010 |
| Second Address | Salem, UT 84653-5698 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/05/2006 |
| Last Update Date | 09/05/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 107018542102 | SELECT HEALTH (01) | UT |
| 174069 | DESERET MUTUAL (01) | UT |
| 52892628603001 | BCBS (01) | |
| 87148 | PEHP (01) | UT |
| D1423 | (05) | UT |
| F80092 | (02) | |
| P00221212 | RAILROAD MEDICARE (01) |
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.