Provider Demographics
NPI:1508884131
Name:ROBERTS, MARGARET LOUISE (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:LOUISE
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3000 COLLEGE DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:ROCK SPRINGS
Mailing Address - State:WY
Mailing Address - Zip Code:82901-4202
Mailing Address - Country:US
Mailing Address - Phone:307-362-6641
Mailing Address - Fax:307-362-7139
Practice Address - Street 1:3000 COLLEGE DR
Practice Address - Street 2:SUITE C
Practice Address - City:ROCK SPRINGS
Practice Address - State:WY
Practice Address - Zip Code:82901-4202
Practice Address - Country:US
Practice Address - Phone:307-362-6641
Practice Address - Fax:307-362-7139
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WY6774A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine