Provider Demographics
NPI:1285165118
Name:CAMMARANO, JULIAN (DO)
Entity type:Individual
Prefix:DR
First Name:JULIAN
Middle Name:
Last Name:CAMMARANO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7551 W ALAMEDA AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-3208
Mailing Address - Country:US
Mailing Address - Phone:303-925-4380
Mailing Address - Fax:303-925-4381
Practice Address - Street 1:7551 W ALAMEDA AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-3208
Practice Address - Country:US
Practice Address - Phone:303-925-4380
Practice Address - Fax:303-925-4381
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-22
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CODR.0061079207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program