ROBERTS, MICHAEL DOMINICK - Licensee Information

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Last Update: Monday, July 1, 2024 1:31 PM CDT
Next Update: Monday, July 1, 2024 4:30 PM CDT

ROBERTS, MICHAEL DOMINICK

Practice Address:	VIRTUAL MEDICAL CLINIC LLC 713 ICE HOUSE DR PA MOUNTAIN TOP PA 18707 Address last updated on 1/17/2023
Phone #:	(607) 725-5064
Fax #:
County:	NOT OKLAHOMA
License:	38763
Dated:	10/28/2021
Expires:	10/1/2024
License Type:	Medical Doctor
Specialty:	Family Medicine

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	St Matthew's Univ-Grand Cayman
Graduated:	5 / 2010
CME Year:	2024

Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Certifications:	AMERICAN BOARD OF FAMILY MEDICINE
New Patients:	Contact licensee
Medicaid:	Contact licensee
Medicare:	Contact licensee

HMO/PPO:	None listed
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
VIRTUAL MEDICAL CLINIC LLC 713 ICE HOUSE DR PA MOUNTAIN TOP PA 18707 Phone #: (607) 725-5064 Fax #:	Mon: 9:00AM - 5:00PM Tue: 9:00AM - 5:00PM Wed: 9:00AM - 5:00PM Thu: 9:00AM - 5:00PM Fri: 9:00AM - 5:00PM Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
SARAH COX	APRN	6899
SAMANTHA ENGLAND	APRN	5176
AUGUSTINE PHAM	PA	2479
RACHEL PRESLEY	APRN	75471
STEPHANIE ROBISON	APRN	77471
JESSICA STRELLER	APRN	99227