Provider Demographics
NPI:1386649473
Name:DOYLE, ROBERT VICTOR (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:VICTOR
Last Name:DOYLE
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Gender:M
Credentials:DO
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Mailing Address - Street 1:1707 COLE BLVD
Mailing Address - Street 2:STE 100
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-3220
Mailing Address - Country:US
Mailing Address - Phone:303-716-8013
Mailing Address - Fax:303-716-3549
Practice Address - Street 1:7550 W YALE AVE
Practice Address - Street 2:BLDG B - #100
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80227-3465
Practice Address - Country:US
Practice Address - Phone:303-935-4689
Practice Address - Fax:303-935-3829
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2013-10-04
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Provider Licenses
StateLicense IDTaxonomies
CO31249207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01312495Medicaid
CO01312495Medicaid
CON1604Medicare ID - Type Unspecified