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NPI Code Detail

MEDICARE: MR. ROBERT ELLIS HENSON II MD

MEDICARE:  MR. ROBERT ELLIS HENSON II MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease PhysicianMD60700596WA
2207RC0000XCardiovascular Disease Physician30651CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104822121
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT ELLIS HENSON II MD
Provider Business Mailing Address
First Line : 5961 RAIN DANCE TRL
Second Line :
City : LITTLETON
State : CO
Zip : 80125-9095
Country : US
Telephone Number : 720-255-4134
Fax Number : 720-784-6183
Provider Business Practice Location Address
First Line : 5961 RAIN DANCE TRL
Second Line :
City : LITTLETON
State : CO
Zip : 80125-9095
Country : US
Telephone Number : 720-255-4134
Fax Number : 720-784-6183
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2005
Last Update Date : 01/10/2024

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Directions to “ MR. ROBERT ELLIS HENSON II MD” Practice Location

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