Healthcare Provider Details

I. General information

NPI: 1548372857
Provider Name (Legal Business Name): CHRISTOPHER M DORAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DR. CHRISTOPHER M DORAN

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 05/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

384 INVERNESS PKWY SUITE 120
ENGLEWOOD CO
80112-5821
US

IV. Provider business mailing address

900 S GARFIELD ST
DENVER CO
80209-5006
US

V. Phone/Fax

Practice location:
  • Phone: 303-790-2825
  • Fax: 303-790-2825
Mailing address:
  • Phone: 303-744-3086
  • Fax: 303-744-6323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number19251
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: