Individual
DR. ROBERT CHARLES HOMBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 POUDRE RIVER DR, FORT COLLINS, CO 80524-3500
(970) 224-9508
(970) 224-1210
Mailing address
2909 HEARTHSTONE DR, FORT COLLINS, CO 80528-9170
(970) 223-3751
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26863
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01268630
—
CO
01
—
10053384
RAILROAD MEDICARE
CO
Enumeration date
07/21/2006
Last updated
10/08/2007
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