Provider Demographics
NPI:1972522688
Name:LONGCOPE, DAVID C (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:C
Last Name:LONGCOPE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8490 E CRESCENT PKWY STE 380
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2815
Mailing Address - Country:US
Mailing Address - Phone:303-957-1310
Mailing Address - Fax:303-761-4252
Practice Address - Street 1:4600 HALE PKWY
Practice Address - Street 2:SUITE 430
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-4020
Practice Address - Country:US
Practice Address - Phone:303-377-6401
Practice Address - Fax:303-377-6951
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2023-06-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO44105208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO80158081Medicaid
COCO303504Medicare PIN
COG88703Medicare UPIN