Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | DR.0056337 | CO |
NPI | 1245209147 |
---|---|
Provider Name | Dr. Rollin Vaughn Oden |
First Address | Denver, CO 80205-2529 |
Second Address | Denver, CO 80205-2827 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2006 |
Last Update Date | 11/03/2020 |