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1326024597
JONATHAN M. ROBERTS
JEFFERSON CITY, MO
NPI
1326024597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: MO 106956)
Enumeration Date
2005-12-20
Last Update Date
2008-08-07
Business Address
Dr. JONATHAN M. ROBERTS M.D.
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109-6023
Phone number: 573-556-7722
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Mailing Address
Dr. JONATHAN M. ROBERTS M.D.
PO BOX 104240
JEFFERSON CITY, MO 65110-4240
Phone number: 573-556-7722
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