Provider Demographics
NPI:1083836423
Name:COLORADO VOICE CLINIC, P.C.
Entity Type:Organization
Organization Name:COLORADO VOICE CLINIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:OPPERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-844-3000
Mailing Address - Street 1:PO BOX 5748
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80217-5748
Mailing Address - Country:US
Mailing Address - Phone:303-844-3000
Mailing Address - Fax:303-844-3002
Practice Address - Street 1:930 W 7TH AVE # B
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-4417
Practice Address - Country:US
Practice Address - Phone:303-844-3000
Practice Address - Fax:303-844-3002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2009-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN45080207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC809941Medicare PIN