Provider Demographics
NPI:1144399197
Name:OPPERMAN, DAVID A (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:OPPERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5748
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80217-5748
Mailing Address - Country:US
Mailing Address - Phone:303-844-3000
Mailing Address - Fax:303-844-3002
Practice Address - Street 1:930 W 7TH AVE # B
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-4417
Practice Address - Country:US
Practice Address - Phone:303-844-3000
Practice Address - Fax:303-844-3002
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO42114207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI36625Medicare UPIN
C809942Medicare PIN