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David M Roberts

Student in an Organized Health Care Education/Training Program in Wheat Ridge, CO. Individual provider (NPI-1).

NPI number1194285437
StatusActive
Last updated in NPPESAug 23, 2021

Details

NPI
1194285437
Entity type
Individual (NPI-1)
Name
David M Roberts
Sex
Male
Sole proprietor
No
Enumeration date
Mar 22, 2019
Certification date
Aug 23, 2021
Last updated
Aug 23, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–COYes
175T00000X Peer SpecialistTHW000003422OR

Practice location

4851 Independence St
Wheat Ridge, CO 80033-6715

Phone 303-425-0300

Mailing address

4851 Independence St
Wheat Ridge, CO 80033-6715

Phone 303-425-0300

Other practice locations

14600 Nw Cornell Rd
Portland, OR 97229-5442

Phone 503-739-6400

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Other Student in an Organized Health Care Education/Training Program providers in Wheat Ridge, CO

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