Individual
MR. JERRY KIRK POPHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 EMERSON ST, #200, DENVER, CO 80218-1014
(303) 468-8844
(303) 468-8850
Mailing address
1800 EMERSON ST, #200, DENVER, CO 80218-1014
(303) 468-8844
(303) 468-8850
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
04-23793
KS
207W00000X
Ophthalmology Physician
Primary
DR27698
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98806033
—
CO
Enumeration date
06/30/2005
Last updated
04/08/2013
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