Provider Demographics
NPI:1497759880
Name:CLAASSEN, DUANE (MD)
Entity Type:Individual
Prefix:DR
First Name:DUANE
Middle Name:
Last Name:CLAASSEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1707 COLE BLVD
Mailing Address - Street 2:STE 250
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401
Mailing Address - Country:US
Mailing Address - Phone:303-716-8013
Mailing Address - Fax:303-716-8056
Practice Address - Street 1:1707 COLE BLVD
Practice Address - Street 2:STE 150
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401
Practice Address - Country:US
Practice Address - Phone:303-233-8295
Practice Address - Fax:303-233-8443
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO25366207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01253665Medicaid
COD24621Medicare UPIN
CON1034Medicare ID - Type Unspecified