Provider Demographics
NPI:1740209550
Name:DONOHUE, ROBERT E (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:E
Last Name:DONOHUE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3791 S ROSEMARY WAY
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-1348
Mailing Address - Country:US
Mailing Address - Phone:303-393-2863
Mailing Address - Fax:303-393-5235
Practice Address - Street 1:3791 S ROSEMARY WAY
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-1348
Practice Address - Country:US
Practice Address - Phone:303-393-2863
Practice Address - Fax:303-393-5235
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO16576208600000X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208600000XAllopathic & Osteopathic PhysiciansSurgery
Not Answered208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO8200599OtherUNIVERSITY PHYSICIANS INC
COE-41615Medicare UPIN