Spencer, Roberto R

Spencer, Roberto R is an individual health care provider with primary practice located at 12687 W Cedar Dr 200, Lakewood CO 80228-2010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Spencer, Roberto R can be contacted via phone (303) 468-1395.

Contact Information

Primary practice address
12687 W Cedar Dr 200 Lakewood CO 80228-2010
Fax: (303) 468-1394
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 38428 Colorado
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 82-314 New Mexico

Profile Details

NPI number 1225007446
LBN Legal business name Spencer, Roberto R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jul 31st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225007446 NPPES
Colorado Other 300112303 RAILROAD MEDICARE
Colorado MEDICAID 58925767 RAILROAD MEDICARE

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