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Individual

AVA J ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PODIATRIST DPM

Contact information

Practice address
175 S UNION BLVD STE 305, COLORADO SPRINGS, CO 80910-3126
(719) 365-6881
(719) 365-6877
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1188
VI
213E00000X
Podiatrist
SC004676R
PA
213ES0131X
Foot Surgery Podiatrist
Primary
721
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64226778
NM
Enumeration date
07/20/2005
Last updated
07/18/2025
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