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Contact Information

CASEY C ROBERTS, PA-C
2300 E 30TH ST BLDG D
STE 101
FARMINGTON, NM87401-8990
 Phone: 505-327-1400
 Fax: 505-564-3202
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CASEY C ROBERTS · (Male)

NPI Number 1205208105
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/30/2015
Last updated 02/09/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • CO License # PA.0005488
  • NM License # PA2015-0069
Hospital affiliation(s)
  • MERCY REGIONAL MEDICAL CENTER - (Acute Care)
    1010 THREE SPRINGS BLVD
    DURANGO, CO 81301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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