Individual provider · Type 1 NPI
Justin W. Roberts, DO
Facial Plastic Surgery Physician · Farmington, MO
NPI number
1619057064
Active
Practice location
501 West Pine Street
Farmington, MO 63640
Fax (866) 291-5617
Mailing address
501 W Pine St
Farmington, MO 63640-1439
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Facial Plastic Surgery Physician Primary | 207YS0123X | 2004027799 (MO) |
| Otolaryngology Physician | 207Y00000X | 2004027799 (MO) |
Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.
Another provider at this address
About NPI 1619057064
Justin W. Roberts, DO's National Provider Identifier is 1619057064, issued on Oct 17, 2006. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Farmington, MO. The record was last updated on Feb 26, 2026.