Individual
DR. SANTIAGO DE LA GARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4747 ARAPAHOE AVE, BOULDER, CO 80303-1131
(303) 415-7610
(303) 415-7618
Mailing address
5450 WESTERN AVE, BOULDER, CO 80301-2709
(303) 415-7610
(303) 415-7618
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0058277
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2014
Last updated
03/17/2018
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