Individual
JEANETTE ANN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
200 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 689-4444
Mailing address
PO BOX 351750, WESTMINSTER, CO 80035-1750
(303) 484-8404
(720) 639-4807
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
56204
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
97850063
—
CO
Enumeration date
10/05/2011
Last updated
05/13/2016
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