Organization
G KENNETH DEAGMAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON K DEAGMAN MD (OWNER/PHYSICIAN)
(303) 755-1164
Entity
Organization
Contact information
Practice address
1550 S POTOMAC ST, 360, AURORA, CO 80012-5457
(303) 755-1164
(303) 755-1147
Mailing address
1550 S POTOMAC ST, 360, AURORA, CO 80012-5457
(303) 755-1164
(303) 755-1147
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18107
CO
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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