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Organization

CONRAD J TIRRE M D P C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CONRAD J TIRRE MD (SELF)
(303) 830-7200
Entity
Organization

Contact information

Practice address
1578 HUMBOLDT ST, DENVER, CO 80218-1638
(303) 830-7200
(303) 830-7523
Mailing address
1578 HUMBOLDT ST, DENVER, CO 80218-1638
(303) 830-7200
(303) 830-7523

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
031474
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01314749
CO
Enumeration date
08/13/2007
Last updated
10/29/2008
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