Individual
ALEXIS CHRYSE MICHOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
17230 JACKSON CREEK PKWY, STE 300, MONUMENT, CO 80132-7301
(719) 571-7000
(719) 571-7059
Mailing address
17230 JACKSON CREEK PKWY, STE 300, MONUMENT, CO 80132-7301
(719) 571-7000
(719) 571-7059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0054639
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17209854
—
CO
Enumeration date
07/05/2012
Last updated
10/14/2015
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