| G Kenneth Deagman MD PC | |
|
1550 S Potomac St 360 Aurora CO 80012-5457 | |
| (303) 755-1164 | |
| (303) 755-1147 |
| Full Name | G Kenneth Deagman MD PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1550 S Potomac St, Aurora, Colorado |
| Authorized Official Name and Position | Gordon K Deagman (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3037551164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| G Kenneth Deagman MD PC 1550 S Potomac St 360 Aurora CO 80012-5457 Ph: (303) 755-1164 | G Kenneth Deagman MD PC 1550 S Potomac St 360 Aurora CO 80012-5457 Ph: (303) 755-1164 |
| NPI Number | 1134492739 |
|---|---|
| Provider Enumeration Date | 02/14/2012 |
| Last Update Date | 02/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134492739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 18107 (Colorado) | Primary |
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