Organization
SOUTHEAST DENVER PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL MIGA MD (PRESIDENT)
(303) 757-6418
Entity
Organization
Contact information
Practice address
11960 LIONESS WAY STE 200, PARKER, CO 80134-5640
(303) 471-5060
(303) 471-5062
Mailing address
2121 S ONEIDA ST STE 200, DENVER, CO 80224-2551
(303) 757-6418
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41830052
—
CO
Enumeration date
01/25/2021
Last updated
01/25/2021
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