David M Gillum
Nephrologist
5265 Vance St Suite 200
Arvada
, Colorado 80002-3714
David M Gillum
Nephrologist
5265 Vance St Suite 200
Arvada
, Colorado 80002-3714
(303) 456-7490
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- David M Gillum
- 4891 Independence St Suite 120
- Wheat Ridge, CO
- Zip : 80033-6752
- Fax : (303) 456-7490
- Phone : (303) 456-5495
Second Address
- David M Gillum
- 5265 Vance St Suite 200
- Arvada, CO
- Zip : 80002-3714
- Fax : (303) 232-8734
- Phone : (303) 232-3366
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Nephrologist | 23221 | CO |
National Provider Identifier
| NPI | 1053302398 |
|---|---|
| Provider Name | David M Gillum |
| First Address | Wheat Ridge, CO 80033-6752 |
| Second Address | Arvada, CO 80002-3714 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/11/2005 |
| Last Update Date | 20/10/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01232214 | (05) | CO |
| 390005661 | RR MEDICARE (01) | CO |
| C16127 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.