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Individual

DR. RICHARD H MIRANDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40540
CO
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
40540
CO
208000000X
Pediatrics Physician
40540
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
29352266
CO
05
49280732
CO
Enumeration date
08/10/2006
Last updated
01/29/2015
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