Individual
DR. JOHN MOSE ROBERTS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9320 GRAND CORDERA PARKWAY, SUITE 255, COLORADO SPRINGS, CO 80924-7021
(719) 258-1240
(719) 282-1247
Mailing address
9320 GRAND CORDERAL PARKWAY, SUITE 255, COLORADO SPRINGS, CO 80924-7021
(719) 258-1240
(719) 282-1247
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
DR.0054821
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56571747
—
CO
Enumeration date
06/25/2008
Last updated
03/21/2016
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