G Kenneth Deagman MD PC

NPI #1134492739 in Aurora, Colorado

Provider Information

NPI Number: 1134492739
Entity Type: Organization
Organization Name: G Kenneth Deagman MD PC
Primary Specialty: Internal Medicine
Enumeration Date: Feb 14, 2012
Last Updated: Feb 14, 2012

Practice Location

Address: 1550 S POTOMAC ST
Address 2: 360
City: Aurora
State: Colorado
ZIP Code: 80012-5457
Phone: (303) 755-1164

Authorized Official

Name: GORDON K DEAGMAN, MD
Title: OWNER/PHYSICIAN
Phone: (303) 755-1164

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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