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Individual

GORDON KENT LINDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01077631A
IN
208600000X
Surgery Physician
42639
CO
208600000X
Surgery Physician
EMC0001110
MI
208600000X
Surgery Physician
Primary
MD482816
PA
208M00000X
Hospitalist Physician
1073
WI
208M00000X
Hospitalist Physician
EMC0001110
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09472371
CO
Enumeration date
10/03/2006
Last updated
03/08/2024
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