Individual
DR. ROBERTO R SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12687 W CEDAR DR, 200, LAKEWOOD, CO 80228-2010
(303) 468-1395
(303) 468-1394
Mailing address
1052 SLEEPY HOLLOW RD, GOLDEN, CO 80401-8037
(303) 468-1395
(303) 468-1394
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
38428
CO
2085R0202X
Diagnostic Radiology Physician
82-314
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300112303
RAILROAD MEDICARE
CO
05
—
58925767
—
CO
Enumeration date
03/17/2006
Last updated
07/31/2012
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