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Organization

RICHARD O'BRIEN, MD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TAMARA V RADICH (BUSINESS MANAGER)
(303) 423-0758
Entity
Organization

Contact information

Practice address
4500 EAST 9TH AVE #550, RICHARD O'BRIEN, MD, LLC, DENVER, CO 80220
(303) 329-8998
(303) 329-9020
Mailing address
4500 EAST 9TH AVE #550, RICHARD O'BRIEN, MD, LLC, DENVER, CO 80220
(303) 329-8998
(303) 329-9020

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24590
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01245901
CO
01
24590
COLORADO LIC
CO
Enumeration date
09/20/2007
Last updated
05/01/2008
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