Individual
BRIAN CERVENKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1635 AURORA CT, AURORA, CO 80045-2541
(720) 848-0000
Mailing address
12605 E 16TH AVE, AURORA, CO 80045-2545
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
57130
TN
207Y00000X
Otolaryngology Physician
Primary
DR0067707
CO
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
35.136074
OH
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
DR0067707
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2013
Last updated
03/07/2022
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