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Individual

MICHAEL R REGHITTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1950 WEST MOUNTAIN VIEW AVE., LONGMONT, CO 80501-3129
(303) 651-5000
Mailing address
P.O. BOX 1175, ENGLEWOOD, CO 80150-2568
(303) 306-7783
(303) 306-7753

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
40650
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
014409
KAISER-COMMERCIAL NUMBER
05
6822223
CO
Enumeration date
02/27/2007
Last updated
05/03/2013
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