Individual
DR. ROY ROSENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1414 NORTH NEVADA AVENUE, COLORADO SPRINGS, CO 80907-7431
(719) 634-3049
(719) 475-0993
Mailing address
1414 NORTH NEVADA AVENUE, COLORADO SPRINGS, CO 80907-7431
(719) 634-3049
(719) 475-0993
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20029
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01-200294
—
CO
01
—
016793
VALUE OPTIONS
CO
Enumeration date
10/02/2006
Last updated
07/08/2007
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