Provider Demographics
NPI:1780888172
Name:ARTHUR C ROBERTS MD PC
Entity type:Organization
Organization Name:ARTHUR C ROBERTS MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:C
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:719-634-4811
Mailing Address - Street 1:7608 N UNION BLVD
Mailing Address - Street 2:SUITE E
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-3886
Mailing Address - Country:US
Mailing Address - Phone:719-634-4811
Mailing Address - Fax:719-634-0170
Practice Address - Street 1:7608 N UNION BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-3886
Practice Address - Country:US
Practice Address - Phone:719-634-4811
Practice Address - Fax:719-634-0170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO186882084P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC808760OtherGROUP PTAN
COC808760OtherGROUP PTAN