Chester Carter Roberts Jr., PA-C

Individual provider Surgical Physician Assistant · NPI 1154365690

Chester Carter Roberts Jr., PA-C is a Surgical Physician Assistant in Poplar Bluff, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in: MO
In the registry since: 2006
Specialties on file: 2

What do these letters mean?

PA-C — Physician Assistant, Certified: A physician assistant who holds current national certification.

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Practice location Address checks out

1500 N Westwood Blvd
Poplar Bluff, MO 63901-3318
Phone: (573) 778-4393
Fax: (573) 778-4304

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary)	Taxonomy 363AS0400X
Surgical Physician Assistant	Taxonomy 363AS0400X · Licence 2011037573 (MO)

Record details

NPI number	1154365690
Entity type	Individual (Type 1)
Gender	Male
Credentials	PA-C
Sole proprietor	No
NPI enumerated	June 15, 2006
Last updated in NPPES	January 12, 2012