Individual
DOUGLAS MAYEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27 MAIN ST # C301, EDWARDS, CO 81632-8109
(970) 376-8376
Mailing address
6291 S NEWPORT ST, CENTENNIAL, CO 80111-4436
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
CO 23285
CO
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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