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Individual

MARK GERALD ROBACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
33335
MN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
33335
MN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
33817
CO

Other

Enumeration date
06/29/2006
Last updated
07/18/2019
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