Provider Demographics
NPI:1740397090
Name:CEDARS, CHESTER M (MD)
Entity Type:Individual
Prefix:DR
First Name:CHESTER
Middle Name:M
Last Name:CEDARS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10103 RIDGEGATE PKWY
Mailing Address - Street 2:SUITE G-23
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-5520
Mailing Address - Country:US
Mailing Address - Phone:303-225-0025
Mailing Address - Fax:303-225-0029
Practice Address - Street 1:10103 RIDGEGATE PKWY
Practice Address - Street 2:SUITE G-23
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5520
Practice Address - Country:US
Practice Address - Phone:303-225-0025
Practice Address - Fax:303-225-0029
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO16561207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
COD23093Medicare UPIN