Individual
ROBERT MALCOLM IGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1304 N ACADEMY BOULEVARD, SUITE 205, COLORADO SPRINGS, CO 80909-3318
(719) 596-8440
(719) 572-8934
Mailing address
1304 N ACADEMY BOULEVARD, SUITE 205, COLORADO SPRINGS, CO 80909-3318
(719) 596-8440
(719) 572-8934
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7181
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28251857
—
CO
Enumeration date
01/29/2007
Last updated
07/08/2007
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