Organization
COLORADO GASTROENTEROLOGY PROF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN S SIEJA M.D. (MANAGING PHYSICIAN)
(303) 861-0808
Entity
Organization
Contact information
Practice address
1960 N OGDEN ST STE 220, DENVER, CO 80218-3668
(303) 861-0808
(303) 861-2193
Mailing address
1960 N OGDEN ST STE 220, DENVER, CO 80218-3668
(303) 861-0808
(303) 861-2193
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000152752
—
CO
01
—
DB9573
RAILROAD MEDICARE
CO
Enumeration date
05/23/2006
Last updated
04/21/2025
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