Individual provider · Type 1 NPI

Susan Diane Roberts, PA-C

Medical Physician Assistant · Lewisburg, PA

NPI number 1114966686 Active

Practice location

131 Jpm Rd Ste A
Lewisburg, PA 17837-9309

Call (570) 523-6115 Map

Fax (570) 523-6178

Mailing address

7 Dock Hill Rd
Middleburg, PA 17842-8910

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XOA000816 (PA)
Medical Physician Assistant Primary 363AM0700XMA051057 (PA)

Medical Physician Assistant: Definition to come...

2 other providers at this address

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About NPI 1114966686

Susan Diane Roberts, PA-C's National Provider Identifier is 1114966686, issued on Jun 6, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lewisburg, PA. The record was last updated on Oct 5, 2020.