Basic Information
| Provider Information | |||||||||
| NPI: | 1881685469 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DAUGHERTY | ||||||||
| FirstName: | ROBIN | ||||||||
| MiddleName: | SADKER | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4900 S MONACO ST | ||||||||
| Address2: | #210 | ||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802373486 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3035349550 | ||||||||
| FaxNumber: | 7209327805 | ||||||||
| Practice Location | |||||||||
| Address1: | 1515 WAZEE ST | ||||||||
| Address2: | UNIT D | ||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802021478 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3035349550 | ||||||||
| FaxNumber: | 7209327805 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/02/2005 | ||||||||
| LastUpdateDate: | 11/17/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 208780 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 46128 | CO | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.