Individual
DR. AMY MARIE OLDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45135
CO
207Q00000X
Family Medicine Physician
TL-1797
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021390
KAISER COMMERCIAL NUMBER
CO
05
—
35777061
—
CO
Enumeration date
10/17/2006
Last updated
06/15/2021
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