Provider Demographics
NPI:1679642136
Name:YAMAMOTO, DAVID WARREN (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:WARREN
Last Name:YAMAMOTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7768 VANCE DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-2102
Mailing Address - Country:US
Mailing Address - Phone:303-427-7700
Mailing Address - Fax:303-427-7709
Practice Address - Street 1:7768 VANCE DR
Practice Address - Street 2:SUITE B
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-2102
Practice Address - Country:US
Practice Address - Phone:303-427-7700
Practice Address - Fax:303-427-7709
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2012-04-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO23821207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC462898Medicare PIN
COE40425Medicare UPIN