Individual
DR. PATRICK ANTHONY TELLEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH, MSHA
Contact information
Practice address
3701 S BROADWAY, ENGLEWOOD, CO 80113-3611
(303) 761-1977
Mailing address
420 JACKSON ST, DENVER, CO 80206-4541
(303) 333-0248
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
24552
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184695967
—
CO
Enumeration date
01/30/2006
Last updated
04/18/2012
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