Individual
ELISE MARIE ITANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6810 10TH ST, GREELEY, CO 80634-8254
(717) 731-9660
Mailing address
4325 XAVIER ST, DENVER, CO 80212-2421
(210) 367-1223
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
0062819
CO
Other
Enumeration date
05/19/2014
Last updated
06/03/2024
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