Individual
DR. WILLIAM LEE DENAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
417 S. TEJON ST. SUITE 120, COLORADO SPRINGS, CO 80903-2206
(719) 301-6417
Mailing address
1332 N WEBER ST, COLORADO SPRINGS, CO 80903-2428
(719) 491-1616
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
39236
CO
207Q00000X
Family Medicine Physician
Primary
DR.0039236
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139411635
—
TX
05
—
139411636
—
TX
Enumeration date
05/03/2006
Last updated
10/22/2021
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