Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | DR.0062659 | CO |
NPI | 1427441229 |
---|---|
Provider Name | Sara M Robison |
First Address | Colorado Springs, CO 80918-1499 |
Second Address | Colorado Springs, CO 80918 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2015 |
Last Update Date | 05/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
9000173760 | (05) | CO |