Healthcare Provider Details

I. General information

NPI: 1801803168
Provider Name (Legal Business Name): DAVID A CAMERON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 04/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1783 15TH ST
DENVER CO
80202-1888
US

IV. Provider business mailing address

1783 15TH ST
DENVER CO
80202-1888
US

V. Phone/Fax

Practice location:
  • Phone: 303-825-3397
  • Fax:
Mailing address:
  • Phone: 303-825-3397
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD00040303
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number56200
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: