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NPI Code Detail

MEDICARE: COLLEEN M O'BRIEN

MEDICARE: COLLEEN M O'BRIEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician90809CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1015273OTHERKAISER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1689891996
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLEEN M O'BRIEN
Provider Business Mailing Address
First Line : 2500 S HAVANA ST
Second Line :
City : AURORA
State : CO
Zip : 80014-1618
Country : US
Telephone Number : 303-338-4545
Fax Number :
Provider Business Practice Location Address
First Line : 10065 E HARVARD AVE STE 400
Second Line :
City : DENVER
State : CO
Zip : 80231-5943
Country : US
Telephone Number : 303-614-1400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2007
Last Update Date : 08/11/2010

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Directions to “ COLLEEN M O'BRIEN ” Practice Location

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