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Contact Information

YURI C ROTHBAUM, PA
1400 E BOULDER ST
COLORADO SPRINGS, CO80909
 Phone: 719-560-5656
 Fax: 719-560-4715
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for YURI C ROTHBAUM · (Male)

NPI Number 1831122068
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 07/09/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CO License # PA.0001060
  • CO Medicaid 35288876
  • Other P00065901 RAILROAD MEDICARE
  • CO Other 1060 COLORADO LICENSE
Hospital affiliation(s)
  • CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES - (Acute Care)
    2222 N NEVADA AVE
    COLORADO SPRINGS, CO 80907
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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