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Individual

ANDREW FRED OPP PROUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
777 BANNOCK ST, DENVER, CO 80204
(303) 436-6000
Mailing address
777 BANNOCK ST # 2, DENVER, CO 80204-4507
(303) 602-3899

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
DR.0060817
CO
207RC0000X
Cardiovascular Disease Physician
TL.0005795
CO

Other

Enumeration date
03/20/2011
Last updated
07/06/2023
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