Organization
MOUNTAIN RHEUMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KORMAN MD (PRESIDENT)
(303) 861-2190
Entity
Organization
Contact information
Practice address
4500 E 9TH AVE, NO 500 S, DENVER, CO 80220-3900
(303) 861-2190
(303) 355-4435
Mailing address
4500 E 9TH AVE, NO 500 S, DENVER, CO 80220-3900
(303) 861-2190
(303) 355-4435
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200365030A
—
KS
05
—
200365030B
—
KS
05
—
84253347
—
CO
Enumeration date
07/17/2006
Last updated
04/25/2023
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