Provider Demographics
NPI:1124083647
Name:CONFORTI, DEBRA B (DO)
Entity type:Individual
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First Name:DEBRA
Middle Name:B
Last Name:CONFORTI
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Gender:F
Credentials:DO
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Mailing Address - Street 1:1390 S POTOMAC ST
Mailing Address - Street 2:STE 128
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-6165
Mailing Address - Country:US
Mailing Address - Phone:303-341-0722
Mailing Address - Fax:303-341-0832
Practice Address - Street 1:9351 GRANT ST
Practice Address - Street 2:STE 100
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4358
Practice Address - Country:US
Practice Address - Phone:303-341-0722
Practice Address - Fax:303-341-0832
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2014-12-09
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Provider Licenses
StateLicense IDTaxonomies
CO32707204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO32707OtherSTATE ID