Individual
ROBERT JOHANNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
96 WADSWORTH BLVD UNIT 100, LAKEWOOD, CO 80226-1516
(303) 239-8327
(303) 239-9946
Mailing address
96 WADSWORTH BLVD UNIT 100, LAKEWOOD, CO 80226-1516
(303) 239-8327
(303) 239-9946
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
33741
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01337427
—
CO
Enumeration date
07/05/2005
Last updated
05/09/2012
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