Individual
DR. DAVID A OPPENHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 BALSAM AVE, BOULDER, CO 80304-3404
(303) 440-2273
Mailing address
36 GARDEN CTR, BROOMFIELD, CO 80020-1776
(303) 465-0401
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25258
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01252584
—
CO
01
—
300048617
BRI MEDICARE RAILROAD
CO
01
—
300061061
DMSO CO MEDICARE RAILROAD
CO
Enumeration date
02/20/2006
Last updated
03/28/2016
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