Organization
SOUTH DENVER INTERNAL MEDICINE AND PEDIATRICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES MIRANDA M.D. (PRESIDENT)
(303) 799-8890
Entity
Organization
Contact information
Practice address
10103 RIDGEGATE PKWY, SUITE 114, LONE TREE, CO 80124-5520
(303) 799-8890
(303) 799-8891
Mailing address
10103 RIDGEGATE PKWY, SUITE 114, LONE TREE, CO 80124-5520
(303) 799-8890
(303) 799-8891
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
33478
CO
Other
Enumeration date
03/01/2007
Last updated
02/08/2010
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