Individual
ANDREW B. ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3530 E SPAULDING AVE, PUEBLO, CO 81008-2209
(719) 296-9000
(719) 296-9001
Mailing address
3530 E SPAULDING AVE, PUEBLO, CO 81008-2209
(719) 296-9000
(719) 296-9001
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
52254
CO
174400000X
Specialist
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
56140
AZ
208VP0014X
Interventional Pain Medicine Physician
62254
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56140
ARIZONA MEDICAL LICENSE
AZ
Enumeration date
11/15/2006
Last updated
11/27/2023
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