Individual
EDWARD MIRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1845 INDIAN HILLS CIR, FORT COLLINS, CO 80525-1596
(404) 435-1917
Mailing address
1845 INDIAN HILLS CIR, FORT COLLINS, CO 80525-1596
(404) 435-1917
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0060676
CO
Other
Enumeration date
01/25/2006
Last updated
08/13/2023
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