Provider Demographics
NPI:1205829108
Name:GIN, ROBERT O (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:O
Last Name:GIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:206 W COUNTY LINE RD
Mailing Address - Street 2:STE 110
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2318
Mailing Address - Country:US
Mailing Address - Phone:303-791-9999
Mailing Address - Fax:303-791-2778
Practice Address - Street 1:206 W COUNTY LINE RD
Practice Address - Street 2:STE 110
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2318
Practice Address - Country:US
Practice Address - Phone:303-791-9999
Practice Address - Fax:303-791-2778
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-25
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CO37434208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01374347Medicaid