Provider Demographics
NPI:1528160389
Name:PHILPOTT, OSGOODE S (MD)
Entity type:Individual
Prefix:DR
First Name:OSGOODE
Middle Name:S
Last Name:PHILPOTT
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 1:950 E HARVARD AVE
Mailing Address - Street 2:STE 440
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-7009
Mailing Address - Country:US
Mailing Address - Phone:303-744-2704
Mailing Address - Fax:303-744-3244
Practice Address - Street 1:950 E HARVARD AVE
Practice Address - Street 2:STE 440
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-7009
Practice Address - Country:US
Practice Address - Phone:303-744-2704
Practice Address - Fax:303-744-3244
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO13820207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
COD22500Medicare UPIN
COC339748Medicare ID - Type Unspecified