Individual
DR. DAVID M MIRSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
DR.0051251
CO
2085R0202X
Diagnostic Radiology Physician
51251
CO
2085R0202X
Diagnostic Radiology Physician
MD438966
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025331540001
—
PA
05
—
64086321
—
CO
Enumeration date
04/26/2010
Last updated
11/17/2018
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