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Search › Arizona › 320900000X

Idris Roberson

NPI 1639957277 · on the registry since 2023 · sole proprietor

Practice

Address
4494 W Peoria Ave Ste 101
Glendale, AZ 85302
Phone
(602) 687-2043
Fax
(623) 440-4285
Organisation at this address
Pvim
Pvim, Llc
B. Therapy Llc
Triumph Care Group
Pauliber Healthcare Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
320900000X
320900000X
Also registered as
320600000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-09-15

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 Arizona