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Individual

DR. JEREMIAH COGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1860 LARIMER ST, SUITE 100, DENVER, CO 80202-1438
(303) 296-2273
(303) 296-8330
Mailing address
11491 E YALE WAY, AURORA, CO 80014-3040
(720) 748-9223

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33560
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
91064139
CO
Enumeration date
01/11/2007
Last updated
07/08/2007
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