Individual
DR. FADI TAHA ALATTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3670 PARKER BLVD STE 101, PUEBLO, CO 81008
(719) 562-2900
(719) 924-1592
Mailing address
PO BOX 560825, DENVER, CO 80256-0825
(719) 595-7580
(719) 545-0176
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD 60507064
WA
207RI0011X
Interventional Cardiology Physician
Primary
DR.0060507
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000162970
—
CO
Enumeration date
11/15/2008
Last updated
09/04/2018
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