Organization
ROBERT P DOMALESKI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT P DOMALESKI MD (PRESIDENT)
(303) 421-3331
Entity
Organization
Contact information
Practice address
4045 WADSWORTH, #100, WHEATRIDGE, CO 80033
(303) 421-3331
(303) 421-1309
Mailing address
1930 S FEDERAL BLVD, DENVER, CO 80219-5501
(303) 935-9142
(303) 934-7332
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99053781
—
CO
01
—
DA8406
RRW MEDICARE
CO
Enumeration date
05/07/2007
Last updated
04/19/2013
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