Individual
EDWARD P HAVRANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-4949
(303) 602-3902
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-4949
(303) 602-3902
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
DR.0026367
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06933572
—
CO
01
—
60066127
RAILROAD MEDICARE
CO
Enumeration date
07/27/2006
Last updated
12/19/2024
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