Individual
DAVID ALAN KORNHAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2490 W 26TH AVE, STE A120, DENVER, CO 80211-5314
(303) 925-4580
(303) 925-4581
Mailing address
2490 W 26TH AVE, STE A120, DENVER, CO 80211-5314
(303) 925-4580
(303) 925-4581
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
27697
WI
207Q00000X
Family Medicine Physician
Primary
DR.0024705
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30755700
—
WI
05
—
41750071
—
CO
01
—
P00449639
RR MEDICARE
WI
Enumeration date
07/07/2006
Last updated
05/31/2016
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