Individual
DR. SUSAN J ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1420 W MIDWAY BLVD, BROOMFIELD, CO 80020-2090
(303) 466-1866
(303) 466-4081
Mailing address
583 W SAGEBRUSH CT, LOUISVILLE, CO 80027-1644
(303) 666-8284
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30342
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01303429
—
CO
01
—
R37418
BC/BS
CO
Enumeration date
07/10/2006
Last updated
01/14/2011
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