Individual
RICHARD SALAZAR MONTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301092121
MI
2084N0400X
Neurology Physician
Primary
52158
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25484265
—
CO
01
—
40699510
ID NUMBER
—
01
—
C063693
PASSPORT
—
Enumeration date
06/21/2007
Last updated
01/29/2016
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