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Individual

DR. MICHAEL HURD PAINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
575 RIVERGATE LANE, DURANGO, CO 81301-7487
(970) 385-2364
(970) 385-2396
Mailing address
PO BOX 108822, OKLAHOMA CITY, OK 73101-8822
(970) 385-2364

Taxonomy

Speciality
Code
Description
License number
State
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
Primary
43059
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
90359046
CO
Enumeration date
04/09/2007
Last updated
05/05/2008
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