Individual
MICA BUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1730 BLAKE ST, SUITE B-30, DENVER, CO 80202-1283
(303) 304-4128
(970) 785-2700
Mailing address
1730 BLAKE ST, B-30, DENVER, CO 80202-1283
(303) 304-4128
(970) 785-2700
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT0014556
CO
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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