Individual
MICHAEL TODD DUZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
401 W NORTHERN AVE, PUEBLO, CO 81004-3111
(719) 553-0400
(719) 553-0401
Mailing address
401 W NORTHERN AVE, PUEBLO, CO 81004-3111
(719) 553-0400
(719) 553-0401
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
105506
MO
207Q00000X
Family Medicine Physician
105506
MO
207Q00000X
Family Medicine Physician
Primary
DR.0063273
CO
Other
Enumeration date
05/03/2006
Last updated
10/29/2019
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