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Individual

ERIC MALDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
501 E HAMPDEN AVE, ENGLEWOOD, CO 80113-2702
(303) 761-9190
(720) 987-4446
Mailing address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-36274
KS
2085R0202X
Diagnostic Radiology Physician
25094
NE
2085R0202X
Diagnostic Radiology Physician
38361
CO
2085R0202X
Diagnostic Radiology Physician
MD17554
HI
2085R0204X
Vascular & Interventional Radiology Physician
Primary
DR.0038361
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025709000
NE
05
104686267
MI
05
11451581
NM
05
1356395792
IA
05
1356395792
MT
05
1356395792
SD
05
1356395792
WY
05
200025620A
OK
05
200254280A
KS
01
300111551
RR MIC MEDICARE
CO
01
300111554
RR RIA MEDICARE
CO
05
373313
AZ
05
84-059792913
NE
05
97624349
CO
01
CO306497
MCR TB MIC
CO
01
NA1214044
WPS MCR NE
NE
01
NA1215044
WPS MCR NE
NE
05
Q38361
SC
Enumeration date
05/20/2006
Last updated
03/29/2024
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