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Individual

DR. JOHN A VAN DOORNINCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2055 N HIGH ST, #340, DENVER, CO 80205-5503
(303) 832-2344
(303) 832-3721
Mailing address
4900 S MONACO ST, SUITE 210, DENVER, CO 80237-3486
(303) 832-2344
(303) 832-3721

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
48641
CO
2080P0207X
Pediatric Hematology & Oncology Physician
A80230
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06207219
NM
05
10025570100
NE
05
1194970350
SD
05
1194970350
WY
05
98500546
CO
Enumeration date
12/01/2008
Last updated
01/31/2022
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