Healthcare Provider Details

I. General information

NPI: 1013844455
Provider Name (Legal Business Name): ROBERT HARGROVE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14163 E IOWA DR
AURORA CO
80012-5532
US

IV. Provider business mailing address

14163 E IOWA DR
AURORA CO
80012-5532
US

V. Phone/Fax

Practice location:
  • Phone: 303-330-8715
  • Fax:
Mailing address:
  • Phone: 303-330-8715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number942440120
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: