Individual
DR. CHARLENE DEANNE GUGGENHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 FOUNDERS PL, SUITE 109, ASPEN, CO 81611-1476
(970) 920-0104
(970) 920-0124
Mailing address
101 FOUNDERS PL, SUITE 109, ASPEN, CO 81611-1476
(970) 920-0104
(970) 920-0124
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
34356
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01343565
—
CO
Enumeration date
07/21/2005
Last updated
05/29/2009
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