Individual
DR. MATTHEW PHARES PALCSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
47823
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL-1819
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020236
KAISER COMMERCIAL NUMBER
CO
05
—
56881266
—
CO
Enumeration date
01/30/2007
Last updated
10/22/2024
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