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A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Obstetrics |
207VX0000X | 16 | Physician/Obstetrics & Gynecology | |
Gynecology |
207VG0400X | 16 | Physician/Obstetrics & Gynecology |
| NPI # | 1518926005 |
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| LBN Legal business name | SOUTH DENVER OBSTETRICS & GYNECOLOGY PC | ||||
| Authorized official | CANDICE CHACON-JARAMILLO - (CREDENTIALING SPECIALIST) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 03/22/2006 | ||||
| Last updated | 06/11/2019 - About 7 years ago | ||||
| Identifiers |
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SOUTH DENVER OBSTETRICS & GYNECOLOGY PC