Individual
DR. SUSAN PATRICIA DIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1601 E 19TH AVENUE, SUITE # 3650, DENVER, CO 80218
(303) 831-4774
(303) 839-7750
Mailing address
23 JERSEY STREET, DENVER, CO 80220
(303) 331-0539
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35677
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01356773
—
CO
Enumeration date
01/12/2007
Last updated
11/25/2008
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