Individual
ROBERT ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHA
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
13611 E COLFAX AVE, AURORA, CO 80045-5701
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
358
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07107121
—
CO
Enumeration date
10/25/2006
Last updated
03/30/2009
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