Stanley Dwayne Roberts in Spanish Fork - Sports Medicine
Stanley Dwayne Roberts - NPI 1316993520
Stanley Dwayne Roberts is a Sports Medicine in Spanish Fork, Utah. Stanley Dwayne Roberts practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Stanley Dwayne Roberts is 1316993520. The last update date is 2012-05-09.
Stanley Dwayne Roberts's current location address is Po Box 10, Spanish Fork, Utah. You can contact this provider via phone number 8668987136 and fax number 6169759824. The mailing address for Stanley Dwayne Roberts is Po Box 10, Spanish Fork, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stanley Dwayne Roberts |
|---|---|
| Address | Po Box 10, Spanish Fork, Utah |
| Phone Number | 8668987136 |
| Fax Number | 6169759824 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1316993520 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2012-05-09 |
Provider Mailing Address Detail
| Address | Po Box 10 |
|---|---|
| City | Spanish Fork |
| State | Utah (UT) |
| Post Code | 846600010 |
| Phone Number | 8668987136 |
| Fax Number | 6169759824 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 276489-1205 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 107018542102 | UT | SELECT HEALTH | |
| 174069 | UT | DESERET MUTUAL | |
| 87148 | UT | PEHP | |
| 52892628603001 | BCBS | ||
| D1423 | UT | -- | |
| P00221212 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Stanley Dwayne Roberts by the Centers for Medicare & Medicaid Services?
The Stanley Dwayne Roberts has been issued the NPI (National Provider Identifier) 1316993520, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Stanley Dwayne Roberts's facilities are situated?
The facilities of Stanley Dwayne Roberts are physically located at the following address: Po Box 10, Spanish Fork, UT, 846600010.
What is Stanley Dwayne Roberts's area of expertise and its corresponding taxonomy classification?
The Stanley Dwayne Roberts's field of specialization is Sports Medicine, and it falls under the taxonomy code 207Qs0010X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1316993520 assigned to Stanley Dwayne Roberts?
The Stanley Dwayne Roberts was issued its 1316993520 on 2006-05-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Stanley Dwayne Roberts, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Stanley Dwayne Roberts, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-05-09.