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Individual

IMELDA SUELTO

Active
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Individual

IMELDA SUELTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME38870
CO
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME38870
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
013437062
CO
01
050083513
RAILROAD MEDICARE
CO
01
388738
ANTHEM/BLUE CROSS
CO
Enumeration date
05/22/2006
Last updated
09/09/2021
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