Individual
DR. MICHAEL WILLIAM DE NARDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
15713 RAY DR, LARKSPUR, CO 80118-5717
(719) 528-6134
Mailing address
15713 RAY DR, LARKSPUR, CO 80118-5717
(719) 528-6134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32088
MN
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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