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Individual

DANIEL WHILEY LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2130 STOUT ST, DENVER, CO 80205-2827
(303) 293-2220
(303) 293-3977
Mailing address
2111 CHAMPA ST, DENVER, CO 80205-2529
(303) 293-2220
(303) 312-9737

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9824
NV
207R00000X
Internal Medicine Physician
Primary
DR.0054378
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1598784985
NV
05
65780078
CO
Enumeration date
07/18/2006
Last updated
02/08/2017
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