Individual
DR. CHARLES ALLEN DE PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
34821
IA
2085N0700X
Neuroradiology Physician
Primary
DR.0065690
CO
2085R0202X
Diagnostic Radiology Physician
DR.0065690
CO
Other
Enumeration date
03/09/2006
Last updated
01/28/2021
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