Individual
MARIA ODETTE GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 602-3854
(303) 602-3902
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 602-3854
(303) 602-2719
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P6170
TX
207RC0000X
Cardiovascular Disease Physician
Primary
DR.0057758
CO
207RC0000X
Cardiovascular Disease Physician
P6170
TX
207UN0901X
Nuclear Cardiology Physician
DR.0057758
CO
Other
Enumeration date
05/31/2008
Last updated
10/14/2024
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