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Contact Information

RANDY D ROBERTS MD PA
1000C EAST MATTHEWS
JONESBORO, AR72401
 Phone: 870-268-8880
 Fax: 870-268-8882
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rheumatology

207RR0500X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RANDY D ROBERTS MD PA

NPI Number 1245208503
LBN Legal business name RANDY D ROBERTS MD PA
Authorized official RANDY ROBERTS - (MD)
Entity Organization
Organization subpart 1 No
Enumeration date 03/10/2006
Last updated 09/16/2013 - About 13 years ago
Identifiers
AR License # N6752
AR Medicaid 110866001
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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