Organization · Type 2 NPI
Myra Roberts Clinic
Clinic/Center · Venetie, AK
NPI number
1063602563
Active
Practice location
81060 Main Street
Venetie, AK 99740-0060
Fax (907) 849-8915
Mailing address
P.o. Box 81060
Venetie, AK 99740-0060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
About NPI 1063602563
Myra Roberts Clinic's National Provider Identifier is 1063602563, issued on Jul 31, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Venetie, AK. The record was last updated on Nov 21, 2018.