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Individual

DR. DAVID A SEVERANCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
4100 E MISSISSIPPI AVE, GLENDALE, CO 80246-3048
(303) 552-9522
(720) 729-7668
Mailing address
4100 E MISSISSIPPI AVE, GLENDALE, CO 80246-3048
(303) 552-9522
(720) 729-7668

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
36578-020
WI
207Q00000X
Family Medicine Physician
Primary
DR.0051889
CO

Other

Enumeration date
03/01/2006
Last updated
03/08/2016
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