Individual
JERALD WALTER KOEPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9331 S COLORADO BLVD STE 100, HIGHLANDS RANCH, CO 80126-7465
(303) 795-8177
(303) 797-2166
Mailing address
125 RAMPART WAY STE 200, DENVER, CO 80230-6429
(720) 858-7550
(720) 858-7615
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
DR.0020778
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01207760
—
CO
Enumeration date
01/31/2006
Last updated
04/29/2021
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