Individual
BETHANY MICHELLE CARVAJAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 W 6TH AVE, DENVER, CO 80204-5182
(303) 602-8340
Mailing address
7115 WELFORD PL, CASTLE PINES, CO 80108-3468
(720) 771-9177
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
52395
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47185074
—
CO
Enumeration date
04/05/2010
Last updated
05/09/2024
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