Organization
DMSO COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A OPPENHEIMER M.D. (PRESIDENT)
(303) 466-1234
Entity
Organization
Contact information
Practice address
36 GARDEN CTR, BROOMFIELD, CO 80020-1730
(303) 466-1234
Mailing address
36 GARDEN CTR, BROOMFIELD, CO 80020-1730
(303) 466-1234
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04003984
—
CO
01
—
C14244
MEDICARE RAILROAD
CO
Enumeration date
09/20/2006
Last updated
11/14/2007
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