Healthcare Provider Details

I. General information

NPI: 1083836423
Provider Name (Legal Business Name): COLORADO VOICE CLINIC, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 03/31/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 W 7TH AVE # B
DENVER CO
80204-4417
US

IV. Provider business mailing address

PO BOX 5748
DENVER CO
80217-5748
US

V. Phone/Fax

Practice location:
  • Phone: 303-844-3000
  • Fax: 303-844-3002
Mailing address:
  • Phone: 303-844-3000
  • Fax: 303-844-3002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number45080
License Number StateMN

VIII. Authorized Official

Name: DAVID ANDREW OPPERMAN
Title or Position: CEO
Credential: M.D.
Phone: 303-844-3000