Individual
MR. CHARLES E TAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4943 STATE HIGHWAY 52, DACONO, CO 80514-9100
(303) 501-2600
(303) 833-7017
Mailing address
4943 STATE HIGHWAY 52, DACONO, CO 80514-9100
(303) 501-2600
(303) 833-7017
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28790
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01287903
—
CO
01
—
C805562
MEDICARE
CO
Enumeration date
05/01/2006
Last updated
02/23/2015
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