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Individual

DR. POWELL PERNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1375 E 20TH AVE, DENVER, CO 80205-5422
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
12192581-1205
UT
207N00000X
Dermatology Physician
Primary
DR.0067923
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000159221
CO
Enumeration date
02/09/2015
Last updated
09/10/2025
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