Individual
CORYDON SPERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 BROADWAY ST STE 130, BOULDER, CO 80305-3396
(720) 848-9200
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0028977
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01289776
—
CO
Enumeration date
08/20/2006
Last updated
03/01/2013
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