Individual
MICHAEL ANTHONY VELOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2045 N FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545
Mailing address
2045 FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2004
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16036
KAISER
CO
05
—
72784326
—
CO
01
—
VEV2004
BCBS
CO
Enumeration date
06/07/2007
Last updated
05/07/2021
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