Individual
DR. MIRIAH MICHAEL TEETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8101 E LOWRY BLVD STE 210, DENVER, CO 80230
(303) 261-1600
(303) 261-1601
Mailing address
8101 E LOWRY BLVD STE 210, DENVER, CO 80230-7195
(303) 261-1600
(303) 261-1601
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
45751
CO
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
45751
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32134053
—
CO
Enumeration date
06/11/2007
Last updated
03/10/2020
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