Individual
DANIEL MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 SUPERIOR DR STE 100B, SUPERIOR, CO 80027-8653
(303) 415-8940
(303) 425-9259
Mailing address
PO BOX 9049, BOULDER, CO 80301-9049
(303) 415-8940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
192062
AK
207Q00000X
Family Medicine Physician
Primary
DR.0073770
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1732943
—
AK
Enumeration date
03/28/2019
Last updated
09/27/2024
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