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DOUGLAS E ROBERTS JR MD A PROFESSIONAL CORPORATION NPI 1386899268


NPI Information

NPI: 1386899268
Provider Name: DOUGLAS E ROBERTS JR MD A PROFESSIONAL CORPORATION

Doing Business As: HEATHER STONE MEDICAL CLINIC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 05D2002894

Address:
900 N HERITAGE DR
BLDG E
RIDGECREST, CA
ZIP 93555
Phone: (760) 446-4571
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DOUGLAS E ROBERTS JR MD A PROFESSIONAL CORPORATION is an internal medicine in Ridgecrest, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DOUGLAS E ROBERTS JR MD A PROFESSIONAL CORPORATION NPI is 1386899268. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Heather Stone Medical Clinic.

The provider's business location address is:

900 N HERITAGE DR
BLDG E
RIDGECREST, CA
ZIP 93555-536
Phone: (760) 446-4571

The provider's authorized official is Douglas Emanuel Roberts .
The authorized official title is President and has the following contact phone number (760) 446-4571.

The CLIA number assigned to this NPI record is 05D2002894 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/19/2008 and was last updated on 10/30/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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