Individual
ROBERT PETER MUCKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 E HAMPDEN AVE STE 415, ENGLEWOOD, CO 80113-2759
(303) 788-7880
(303) 788-7883
Mailing address
701 E HAMPDEN AVE, STE 415, ENGLEWOOD, CO 80113-2759
(303) 788-7880
(303) 788-7883
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35738
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01357383
—
CO
05
—
114486300
—
WY
01
—
303341
BCBS
WY
01
—
5196500
AETNA
CO
Enumeration date
12/13/2005
Last updated
09/03/2021
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