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Individual

DR. ROBERT A GOLDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1650 COCHRANE CIR UNIT MEDDAC, FT CARSON, CO 80913-4604
(719) 526-7120
Mailing address
1650 COCHRANE CIRCLE DEPT OF SURGERY/CHIROPRACTIC, FORT CARSON ARMY BASE, FT CARSON, CO 80913
(724) 387-2455
(724) 387-2456

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007714L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001831390004
PA
01
1601699
BCBS
PA
01
300293906
COMMERCIAL
PA
01
432048389
COMMERCIAL
PA
Enumeration date
08/24/2005
Last updated
01/07/2025
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