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Individual

NICOLE SILVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
580 MOHAWK DR, BOULDER, CO 80303-3712
(303) 338-4545
Mailing address
580 MOHAWK DR, BOULDER, CO 80303-3712
(303) 338-4545

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49123
CO
207R00000X
Internal Medicine Physician
A75119
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
021093
KAISER COMMERCIAL NUMBER
CO
05
42576563
CO
Enumeration date
07/17/2006
Last updated
08/16/2012
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