Individual
DR. JOHN A PREVEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1444 S POTOMAC STREET, SUITE 300, AURORA, CO 80012-4510
(303) 750-0822
(303) 750-1298
Mailing address
4900 S MONACO ST, #210, DENVER, CO 80237-3486
(303) 750-0822
(303) 750-1298
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
24985
CO
207RI0011X
Interventional Cardiology Physician
24985
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01249853
—
CO
05
—
01909223
—
NM
05
—
100174090D
—
KS
05
—
10026280600
—
NE
05
—
10026280700
—
NE
05
—
10026280800
—
NE
05
—
10026281000
—
NE
05
—
10026281200
—
NE
05
—
10026283100
—
NE
05
—
109800400
—
WY
05
—
1982948089
—
NE
Enumeration date
09/26/2005
Last updated
04/15/2014
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