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Organization

JERRY K POPHAM, MD PC

Active
Other names
Park Avenue OculoPlastic Surgeons
Organization subpart
No

Provider details

NPI number
Authorized official
MISS KATIE J DUBLER (OFFICE MANAGER)
(303) 468-8844
Entity
Organization

Contact information

Practice address
1800 EMERSON ST, SUITE 200, DENVER, CO 80218-1014
(303) 468-8844
(303) 468-8850
Mailing address
1800 EMERSON ST, SUITE 200, DENVER, CO 80218-1014
(303) 468-8844
(303) 468-8850

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
27698
CO

Other

Enumeration date
03/15/2007
Last updated
05/22/2008
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