Individual
DR. SANJAY K GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6500 29TH STREET, SUITE 106, GREELEY, CO 80634-8386
(970) 330-5555
(970) 584-1055
Mailing address
6500 29TH ST, SUITE 106, GREELEY, CO 80634-8386
(970) 330-5555
(970) 584-1055
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
41311
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80585019
—
CO
Enumeration date
01/03/2006
Last updated
11/18/2011
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