Doctor Name: | DR. ALISA M ROBERTS |
NPI Number: | 1396785689 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | DO1938 |
Business Practice Address: | 329 Wilson St Brewer, ME - 044121504 |
Business Phone Number: | 2073073000 |
Business Fax Number: | 2079071043 |
Mailing Address: | 329 Wilson St, BREWER |
State: | ME |
Postal Code: | 044121504 |
Phone Number: | 2073073000 |
Fax Number: | 2079071043 |
NPI Enumeration Date: | 06/07/2006 |
NPI Last Update Date: | 07/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | DO1938 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |