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Individual

DR. CHUTAPORN CHARNSANGAVEJ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1411 S POTOMAC ST, SUITE 450, AURORA, CO 80012-4536
(303) 695-4800
(303) 695-4821
Mailing address
1411 S POTOMAC ST, SUITE 450, AURORA, CO 80012-4536
(303) 695-4800
(303) 695-4821

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
42540
CO
207V00000X
Obstetrics & Gynecology Physician
DR.0042540
CO
209800000X
Legal Medicine (M.D./D.O.) Physician
DR.0042540
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07552343
CO
Enumeration date
11/10/2006
Last updated
05/10/2021
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