Healthcare Provider Details

I. General information

NPI: 1831283126
Provider Name (Legal Business Name): KARL LEE WOMER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 06/12/2024
Certification Date: 06/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2535 S DOWNING ST STE 380
DENVER CO
80210-5850
US

IV. Provider business mailing address

2535 S DOWNING ST STE 380
DENVER CO
80210-5850
US

V. Phone/Fax

Practice location:
  • Phone: 303-778-5797
  • Fax: 303-778-5205
Mailing address:
  • Phone: 303-778-5797
  • Fax: 303-778-5205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberD65002
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberME119770
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberMED-PHYS-LIC-87730
License Number StateMT
# 4
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberDR.0062225
License Number StateCO
# 5
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberCDRH.0062225
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: