Provider Demographics
NPI:1083670558
Name:ANDERSON-OESER, ROBERTA PATRICIA (MD)
Entity Type:Individual
Prefix:
First Name:ROBERTA
Middle Name:PATRICIA
Last Name:ANDERSON-OESER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7913 ALLISON WAY STE 201
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-4450
Mailing Address - Country:US
Mailing Address - Phone:303-844-5000
Mailing Address - Fax:844-829-5015
Practice Address - Street 1:9351 GRANT ST
Practice Address - Street 2:STE 100
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4358
Practice Address - Country:US
Practice Address - Phone:303-280-3893
Practice Address - Fax:303-380-3908
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO37124208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
COG79478Medicare UPIN
COC249238Medicare PIN