Individual
CARL D SEVERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14701 E EXPOSITION AVE, AURORA, CO 80012-2623
(303) 338-4545
Mailing address
14701 E EXPOSITION AVE, AURORA, CO 80012-2623
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26195
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003845
KAISER COMMERCIAL NUMBER
CO
05
—
01261957
—
CO
Enumeration date
02/16/2007
Last updated
12/02/2010
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