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NPI Code Detail

MEDICARE: DR. PHILIPPE MARTEN GAUTHIER MD

MEDICARE: DR. PHILIPPE MARTEN GAUTHIER MD
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
1207RN0300XNephrology Physician42844CO
2207RN0300XNephrology Physician15406ND

General Provider Information

NPI Number : 1225021520
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PHILIPPE MARTEN GAUTHIER MD
Provider Business Mailing Address
First Line : PO BOX 110429
Second Line :
City : AURORA
State : CO
Zip : 80042-0429
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1635 AURORA CT
Second Line :
City : AURORA
State : CO
Zip : 80045-2541
Country : US
Telephone Number : 720-848-2237
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2005
Last Update Date : 01/06/2023

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