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Individual

DR. CARL F DANDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD,RVT,RPVI, RPHS

Contact information

Practice address
50 BUCK CREED RD, AVON, CO 81620
(970) 766-8346
Mailing address
PO BOX 450, EDWARDS, CO 81632-0450
(970) 766-8346
(888) 979-8915

Taxonomy

Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
48263
MN
202K00000X
Phlebology Physician
49096
CO
207R00000X
Internal Medicine Physician
48263
MN
207R00000X
Internal Medicine Physician
49096
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110012921
MEDICARE
MN
01
48263
LICENSE
MN
01
49096
LICENSE
CO
05
67723063
CO
Enumeration date
06/12/2006
Last updated
07/16/2021
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