| Doctor Name: | E CLARKE ROBERTS |
| NPI Number: | 1245279868 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | 50-000247 |
| Business Practice Address: | 360 W Central Ave Springboro, OH - 450661106 |
| Business Phone Number: | 9372087100 |
| Business Fax Number: | 9372087125 |
| Mailing Address: | 360 W Central Ave, SPRINGBORO |
| State: | OH |
| Postal Code: | 450661106 |
| Phone Number: | 9372087100 |
| Fax Number: | 9372087125 |
| NPI Enumeration Date: | 06/06/2006 |
| NPI Last Update Date: | 11/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 50-000247 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |