Healthcare Provider Details
I. General information
NPI: 1700847209
Provider Name (Legal Business Name): ROBIN MARCUS LARABEE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/01/2006
Last Update Date: 08/31/2023
Certification Date: 08/31/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4500 E 9TH AVE STE 300
DENVER CO
80220-3922
US
IV. Provider business mailing address
4500 E 9TH AVE SUITE 740
DENVER CO
80220-3911
US
V. Phone/Fax
- Phone: 720-941-1778
- Fax:
- Phone: 720-941-1778
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 42585 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: