Individual
ROBERT DELLAVALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
36948
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16558545
—
CO
Enumeration date
02/17/2006
Last updated
10/13/2012
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