Organization
CHARLES O BRANTIGAN MD
Active
Organization
CHARLES O BRANTIGAN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES O BRANTIGAN MD (OWNER)
(303) 830-8822
Entity
Organization
Contact information
Practice address
2253 DOWNING ST, DENVER, CO 80205-5234
(303) 830-8822
Mailing address
2253 DOWNING ST, DENVER, CO 80205-5234
(303) 830-8822
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
16213
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01162130
—
CO
Enumeration date
02/09/2007
Last updated
08/22/2020
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