| Robert P Domaleski Md Pc | |
|
4045 Wadsworth #100 Wheatridge CO 80033 | |
| (303) 421-3331 | |
| (303) 421-1309 |
| Full Name | Robert P Domaleski Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4045 Wadsworth, Wheatridge, Colorado |
| Authorized Official Name and Position | Robert P Domaleski (PRESIDENT) |
| Authorized Official Contact | 3034213331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert P Domaleski Md Pc 1930 S Federal Blvd Denver CO 80219-5501 Ph: (303) 935-9142 | Robert P Domaleski Md Pc 4045 Wadsworth #100 Wheatridge CO 80033 Ph: (303) 421-3331 |
| NPI Number | 1912110156 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 04/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912110156 | NPI | - | NPPES |
| DA8406 | Other | CO | RRW MEDICARE |
| 99053781 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Executive Center Mh Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Executive Center Ii, 4851 Independence Street Suite 270, Wheatridge, CO 80033 Phone: 303-467-5850 |