Individual
GREGORY RAPHAEL KOTNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6116 E WARREN AVE, DENVER, CO 80222-5703
(303) 512-2299
Mailing address
6116 E WARREN AVE, DENVER, CO 80222-5703
(303) 512-2299
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
0101252050
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
DR.0050096
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99158752
—
CO
05
—
PENDING
—
VA
Enumeration date
01/26/2007
Last updated
09/24/2015
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