Organization
MARY G HEYROSA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY GRACE HEYROSA MD (OWNER)
(720) 483-5690
Entity
Organization
Contact information
Practice address
157 STEELE ST, 1ST FLOOR, DENVER, CO 80206-8020
(720) 575-9300
(720) 575-9566
Mailing address
757 E 20TH AVE, STE 370 #444, DENVER, CO 80205-3278
(720) 483-5690
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
DR0044751
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85929760
—
CO
Enumeration date
11/20/2013
Last updated
08/16/2021
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