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Individual

BERTHA IZAURA ROBLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
7450 WEST 52ND AVE, ARVADA, CO 80002
(303) 463-5941
Mailing address
3760 VANCE ST STE 201, WHEAT RIDGE, CO 80033-6298
(731) 352-7907
(731) 352-4459

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0004252
CO
363A00000X
Physician Assistant
Primary
PA1621
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1507308
TN
01
3380640
MEDICAID GROUP
01
PA.0004254
PA LICENSE
CO
01
PA1621
PROFESSIONAL LICENSE
TN
Enumeration date
07/09/2008
Last updated
07/21/2026
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