| NPI | 1609296326 |
|---|---|
| Doing Business As | CALEB EDWIN ROBERTS SOLE MBR |
| Entity Type | Organization |
| Authorized Contact | CALEB ROBERTS Owner 208-709-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: ID CS35833) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-07-02 |