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Individual
ERIC C CHENWORTH
Active
Individual
ERIC C CHENWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
46865
CO
207K00000X
Allergy & Immunology Physician
Primary
7666176-1204
UT
207R00000X
Internal Medicine Physician
46865
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32024738
—
CO
Enumeration date
02/08/2006
Last updated
05/29/2024
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