Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | STANLEY DWAYNE ROBERTS · Stanley Dwayne Roberts, Jr. | [sources] | |||
Other name | Roberts, Dwayne S. | [sources] | |||
Birth date | [sources] | ||||
Nationality | not available | [sources] | |||
Country | United States of America | [sources] | |||
First name | Stanley | [sources] | |||
Last name | ROBERTS · Roberts, Jr. | [sources] | |||
Middle name | Dwayne | [sources] | |||
NPI | 1316993520 | [sources] | |||
Registration number | 276489 | [sources] | |||
Sector | Physician | [sources] | |||
Position | FAMILY PRACTICE (PHYSICIAN (MD, DO)) | [sources] | |||
Address | 120 WEST 400 NORTH, SALEM, UT 84653 · 120 West 400 North, Salem, UT, 84653 · SALEM, UT 84653, USA | [sources] | |||
Last change | Last processed | First seen |
A database of suppliers who have been excluded from participating in US federal procurement.
United States of America · GSA
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States of America · DHCS
People and companies excluded from Federally funded health care programs
United States of America · OIG
us-fed-excl-stanley-dwayne-roberts-84653-salem
· us-medca-79aa2781cc191c4a5cefbe9f755a3ee9493acc31
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United States of America | OPM | Reciprocal | - |
United States of America | Department of Health Care Services | - | - |
United States of America | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |