Individual
DR. ROBERT D PANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 W SOUTH BOULDER RD, SUITE 214, LAFAYETTE, CO 80026-2752
(303) 604-6669
(303) 661-9496
Mailing address
5450 WESTERN AVE, SUITE B, BOULDER, CO 80301-2709
(303) 415-4325
(303) 661-9496
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0021046
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01210467
—
CO
Enumeration date
01/26/2007
Last updated
11/09/2017
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