Provider Demographics
NPI:1790751147
Name:GUNNING, ROBIN R (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:R
Last Name:GUNNING
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7982 EAGLE FEATHER WAY
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-3032
Mailing Address - Country:US
Mailing Address - Phone:303-858-0756
Mailing Address - Fax:303-792-9740
Practice Address - Street 1:8405 W ALAMEDA AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-2908
Practice Address - Country:US
Practice Address - Phone:720-974-5400
Practice Address - Fax:720-974-4990
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO37205207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO37205OtherSTATE LICENSE
CO01372051Medicaid
CO37205OtherSTATE LICENSE
CO01372051Medicaid