Individual
NIKKI MONTOYA SIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2930 11TH AVE, EVANS, CO 80620-1011
(970) 353-9403
(970) 353-9990
Mailing address
2930 11TH AVE, EVANS, CO 80620-1011
(970) 353-9403
(970) 353-9990
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
48997
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16639774
—
CO
Enumeration date
09/07/2010
Last updated
01/21/2013
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