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Individual

DR. ALAN R DIMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7701 SHERIDAN BLVD, WESTMINSTER, CO 80003-2605
(303) 338-4545
Mailing address
7701 SHERIDAN BLVD, WESTMINSTER, CO 80003-2605
(303) 338-4545

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
52815
CO
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
023597
KAISER COMMERCIAL NUMBER
CO
05
09153365
CO
Enumeration date
07/18/2008
Last updated
10/03/2013
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