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Individual

DR. NICOLE DOROTIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7950 KIPLING ST, SUITE 101, ARVADA, CO 80005-3923
(303) 425-4680
(303) 425-1616
Mailing address
1707 COLE BLVD, SUITE 100, GOLDEN, CO 80401-3220
(303) 716-8013
(303) 763-5495

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43883
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
98487221
CO
01
CO804506
MEDICARE
CT
Enumeration date
12/21/2005
Last updated
10/04/2013
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