Healthcare Provider Details

I. General information

NPI: 1780888172
Provider Name (Legal Business Name): ARTHUR C ROBERTS MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 11/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7608 N UNION BLVD SUITE E
COLORADO SPRINGS CO
80920-3886
US

IV. Provider business mailing address

7608 N UNION BLVD SUITE E
COLORADO SPRINGS CO
80920-3886
US

V. Phone/Fax

Practice location:
  • Phone: 719-634-4811
  • Fax: 719-634-0170
Mailing address:
  • Phone: 719-634-4811
  • Fax: 719-634-0170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P2900X
TaxonomyPain Medicine (Psychiatry & Neurology) Physician
License Number18688
License Number StateCO

VIII. Authorized Official

Name: DR. ARTHUR C ROBERTS
Title or Position: PRES
Credential: MD
Phone: 719-634-4811