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Individual

DR. DAVID WALTER KISTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5044 W 92ND AVE, WESTMINSTER, CO 80031-6301
(303) 650-0445
(303) 429-5088
Mailing address
720 S COLORADO BLVD, SUITE 220A, GLENDALE, CO 80246-1912
(303) 584-8231
(866) 210-0907

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44166
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
348308
MEDICARE GROUP NUMBER
CO
01
C811604
MEDICARE GROUP NUMBER
CO
Enumeration date
01/05/2007
Last updated
03/24/2009
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