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Individual

ALAN D ROTHBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
501 E HAMPDEN AVE, ENGLEWOOD, CO 80113-2702
(303) 761-9190
Mailing address
10700 E GEDDES AVE, NO 200, ENGLEWOOD, CO 80112-3800

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
17306
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01173061
CO
05
922486
AZ
Enumeration date
05/18/2006
Last updated
11/01/2007
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