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Individual

DR. ANDREW GORDON ANTELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4715 ARAPAHOE AVE, BOULDER, CO 80303-1385
(303) 385-2000
(303) 444-1839
Mailing address
7951 E MAPLEWOOD AVE, SUITE 300, GREENWOOD VILLAGE, CO 80111-4723
(303) 930-7800
(303) 930-7860

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
37539
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
99554771
CO
Enumeration date
12/06/2005
Last updated
08/22/2011
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