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Individual

DR. MARIA T GENTILE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
4901 W 38TH AVE, STE 4, DENVER, CO 80212-2025
(303) 781-7862
(303) 781-7864
Mailing address
4901 W 38TH AVE, STE 4, DENVER, CO 80212-2025
(303) 781-7862
(303) 781-7864

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
41523
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20437900301
PACIFICARE
CO
01
20437900380113
CHAMPUS WEST REGION
CO
01
612568700
ACS DEPT OF LABOR
CO
01
GE5788
BLUE CROSS BLUE SHIELD
CO
Enumeration date
07/14/2006
Last updated
06/10/2011
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