NPI 1396797239

Shannon Christine Roberts, MDFACOG

Practitioner Obstetrics & Gynecology Physician Jackson, WY

Practice location

Address: 555 E Broadway Ave STE 108, Jackson, WY 83001-8640
Phone: (307) 734-1005
Fax: (307) 734-1165
Mailing address: PO Box 1844, Jackson, WY 83001-1844

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 6698A (WY)

Other Obstetrics & Gynecology providers in Wyoming →

Registry record

NPI: 1396797239
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 May 2006
Record last updated: 13 Dec 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.