Individual
DR. SAMER K KHODOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(720) 536-6450
Mailing address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(720) 536-6450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40044
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016590
KAISER-COMMERCIAL NUMBER
—
05
—
87632349
—
CO
Enumeration date
03/07/2007
Last updated
12/04/2007
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