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Individual

DR. OVIDIO BERNABE BERMUDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8140 E 5TH AVENUE, EATING RECOVERY CENTER, DENVER, CO 80230-6492
(918) 671-7393
(303) 364-1812
Mailing address
8140 E 5TH AVENUE, EATING RECOVERY CENTER, DENVER, CO 80230-6492
(918) 671-7393
(303) 364-1812

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
49298
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200055420A
OK
01
2238093
CIGNA BEHAVIORAL HEALTH
01
4220021
AETNA BEHAVIORAL HEALTH
Enumeration date
03/20/2006
Last updated
05/10/2011
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