Deagman, Gordon Kenneth
Deagman, Gordon Kenneth is an individual health care provider with primary practice located at 1550 S Potomac St , Aurora CO 80012-5458. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Deagman, Gordon Kenneth can be contacted via phone (303) 755-1164.Contact Information
Primary practice address
1550 S Potomac St
Aurora CO 80012-5458
Phone: (303) 755-1164
Fax: (303) 755-1147
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 18107 | Colorado |
Profile Details
| NPI number | 1346235439 |
|---|---|
| LBN Legal business name | Deagman, Gordon Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Jul 13th, 2026 - about 3 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346235439 | NPPES |
| Colorado | MEDICAID | 01181072 |
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