Organization
ALDONA W STAAR-KUMOSA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALDONA W STAAR-KUMOSA MD (PRESIDENT)
(303) 770-0500
Entity
Organization
Contact information
Practice address
9397 CROWN CREST BLVD, SUITE 420, PARKER, CO 80138-8575
(303) 770-0500
Mailing address
3464 S WILLOW ST, SUITE 088, DENVER, CO 80231-4531
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80676341
—
CO
Enumeration date
03/15/2007
Last updated
08/22/2020
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