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Individual
MICHAEL ROBERT POULOS
Active
Individual
MICHAEL ROBERT POULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DR.0064818
CO
207Q00000X
Family Medicine Physician
Primary
E-12084
AR
207R00000X
Internal Medicine Physician
DR.0064818
CO
208M00000X
Hospitalist Physician
DR.0064818
CO
390200000X
Student in an Organized Health Care Education/Training Program
AC201661D
ID
Other
Enumeration date
04/15/2017
Last updated
06/29/2026
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