Mark Roberts, PH.D

NPI 1336201342 · on the registry since 2006 · sole proprietor

Practice

Address: 921 S 8th Ave
Garrison Hall 525 Stop 8021
Pocatello, ID 83209
Phone: (208) 282-2129
Fax: (208) 282-5411
Organisation at this address: Idaho State University
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 39

Registry record

Primary taxonomy: 103TC2200X
103TC2200X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho