MEDICARE: DR. ROBERT D GOLDHAMER M.D.

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
1	207L00000X	Anesthesiology Physician	18136	CO
2	2084P0800X	Psychiatry Physician	18136	CO

General Provider Information

NPI Number	:	1841520210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT D GOLDHAMER M.D.

Provider Business Mailing Address
First Line	:	95 S JERSEY ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80224-1034
Country	:	US
Telephone Number	:	303-320-0848
Fax Number	:

Provider Business Practice Location Address
First Line	:	95 S JERSEY ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80224-1034
Country	:	US
Telephone Number	:	303-320-0848
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2010
Last Update Date	:	01/07/2010

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