Individual
DR. GREGORY LEE MESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5920 MCINTYRE ST, GOLDEN, CO 80403-7445
(303) 949-1250
Mailing address
5920 MCINTYRE ST, GOLDEN, CO 80403-7445
(303) 949-1250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48078
CO
207Q00000X
Family Medicine Physician
BP10025451
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49378341
—
CO
Enumeration date
02/13/2007
Last updated
01/25/2016
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