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Individual

MICHAEL FRANCIS DOMURAT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 E HAMPDEN AVE, SUITE 202, ENGLEWOOD, CO 80113-2638
(303) 789-1940
(303) 789-2132
Mailing address
300 E HAMPDEN AVE, SUITE 202, ENGLEWOOD, CO 80113-2638
(303) 789-1940
(303) 789-2132

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
28302
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01283027
CO
Enumeration date
07/22/2005
Last updated
07/08/2007
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