Provider Demographics
NPI:1336583186
Name:ROBERTS, CHELSEA ALEXANDRA (MD)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:ALEXANDRA
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3117 E HOBART ST
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-9175
Mailing Address - Country:US
Mailing Address - Phone:480-982-0922
Mailing Address - Fax:480-539-2888
Practice Address - Street 1:4111 E VALLEY AUTO DR
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-4605
Practice Address - Country:US
Practice Address - Phone:480-982-0922
Practice Address - Fax:480-539-2888
Is Sole Proprietor?:No
Enumeration Date:2013-04-23
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ51986208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice