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Individual

GORDON EDWARD DUVALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
562 SABLE BLVD STE 100, AURORA, CO 80011-0809
(036) 972-5833
(303) 286-4589
Mailing address
203 S ROLLIE AVE, FORT LUPTON, CO 80621-1508
(303) 892-6401
(303) 286-4589

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
APN.0003202
CO
363L00000X
Nurse Practitioner
Primary
APN.0003202-NP
CO
363LP0200X
Pediatric Nurse Practitioner
0003202
CO

Other

Enumeration date
08/17/2017
Last updated
06/29/2021
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