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Physicians Internal Medicine Hematology & Oncology

Provider NPI: 1720134315

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
12605 E 16TH AVE  AURORA, CO 80045 US
Tel: 303-493-7000  Fax: --

Business Mailing Address:
PO BOX 110429  AURORA, CO 80042-0429 US
Tel: 303-493-7000  Fax: --

NPI Information:
NPI: 1720134315
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Internal Medicine
Hematology & Oncology
Internal Medicine

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207RX0202X





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