G Kenneth Deagman Md Pc | |
1550 S Potomac St 360 Aurora CO 80012-5457 | |
(303) 755-1164 | |
(303) 755-1147 |
Full Name | G Kenneth Deagman Md Pc |
---|---|
Speciality | Internal Medicine |
Location | 1550 S Potomac St, Aurora, Colorado |
Authorized Official Name and Position | Gordon K Deagman (OWNER/PHYSICIAN) |
Authorized Official Contact | 3037551164 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
G Kenneth Deagman Md Pc 1550 S Potomac St 360 Aurora CO 80012-5457 Ph: (303) 755-1164 | G Kenneth Deagman Md Pc 1550 S Potomac St 360 Aurora CO 80012-5457 Ph: (303) 755-1164 |
NPI Number | 1134492739 |
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Provider Enumeration Date | 02/14/2012 |
Last Update Date | 02/14/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134492739 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 18107 (Colorado) | Primary |
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