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Individual

PAUL OGDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2500 S. HAVANA ST., AURORA, CO 80014-0001
(303) 338-4545
Mailing address
2500 S. HAVANA ST., AURORA, CO 80014-0001
(303) 338-4545

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35994
CO
390200000X
Student in an Organized Health Care Education/Training Program
DR-35994
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
017719
KAISER COMMERCIAL NUMBER
CO
05
91437301
CO
Enumeration date
01/26/2007
Last updated
12/10/2007
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