Provider Demographics
NPI:1124052675
Name:DRUCKER, DAVID
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:DRUCKER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 19TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-1459
Mailing Address - Country:US
Mailing Address - Phone:303-293-9311
Mailing Address - Fax:303-293-8028
Practice Address - Street 1:1255 19TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-1459
Practice Address - Country:US
Practice Address - Phone:303-293-9311
Practice Address - Fax:303-293-8028
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2011-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20580207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO0793502OtherAETNA
CO118650534030OtherHUMANA
CO181542901OtherRAILROAD MEDICARE
CO01340132Medicaid
CO01205806Medicaid
CO0401163Medicaid
CO0533470OtherCIGNA
CO920421020632OtherPACIFICARE COLORADO
CO26501OtherBLUE CROSS
CO840857121001OtherROCKY MOUNTAIN HMO
CO920421020632OtherPACIFICARE COLORADO
CO01205806Medicaid
CO26501Medicare PIN