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Contact Information

ROGER P ILVONEN, MD
2337 S YOUNGFIELD WAY
LAKEWOOD, CO80228-4970
 Phone: 303-986-2827
 Fax: 303-986-5720
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for ROGER P ILVONEN · (Male)

NPI Number 1770726101
Status Active
Credentials MD
Entity Individual
Enumeration date 04/15/2009
Last updated 04/15/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # 18649
  • CO Medicaid 1186493
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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