Whalio Doctors

NPI 1265823256

Shawna L de Graff Roberson, DO

Practitioner Internal Medicine Physician Broomfield, CO

Practice location

Address
340 E 1st Ave STE 102, Broomfield, CO 80020-2454
Phone
(720) 798-0170
Mailing address
1805 Shea Center Dr STE 450, Highlands Ranch, CO 80129-2255

Registered specialties (2)

Internal Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence DR.0055204 (CO)
Neuromusculoskeletal Medicine & OMM Physician
Allopathic & Osteopathic Physicians Taxonomy 204D00000X Licence OS13425 (FL)

Registry record

NPI
1265823256
Entity type
Individual
Sex (as registered)
Female
NPI issued
11 Feb 2015
Record last updated
16 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.