Individual
DR. RICHARD W TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-4545
Mailing address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
18893
CO
207R00000X
Internal Medicine Physician
Primary
DR.0018893
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006285
KAISER-COMMERCIAL NUMBER
—
05
—
01188937
—
CO
Enumeration date
02/16/2007
Last updated
04/14/2020
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