Individual
NOAH TAL KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 W 5TH ST N, CHEYENNE WELLS, CO 80810
(719) 767-5661
Mailing address
PO BOX 912215, DENVER, CO 80291-2215
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
11937
NV
207P00000X
Emergency Medicine Physician
Primary
C0864
KY
207P00000X
Emergency Medicine Physician
DR.0052813
CO
207Q00000X
Family Medicine Physician
CDRH.0052813
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A962900
—
CA
05
—
100511884
—
NV
05
—
47600888
—
CO
Enumeration date
11/21/2006
Last updated
01/30/2024
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