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Individual

DR. CHRISTOPHER W PERGREM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12911 W 40TH AVE, GOLDEN, CO 80401-2696
(303) 425-4500
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(855) 687-0618

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
36395
KY
207P00000X
Emergency Medicine Physician
Primary
39044
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
73105031
CO
Enumeration date
12/29/2005
Last updated
12/08/2024
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