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Individual

GUY UPSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 876, AURORA, CO 80040-0876
(303) 493-7000

Taxonomy

Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
32868
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01328681
CO
Enumeration date
10/25/2006
Last updated
03/23/2021
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