Individual
DR. TAIS MOREIRA PROTASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
UNIVERSITY OF COLORADO INTERNAL MEDICINE RESIDENCY PROG, 12631 EAST 17TH PLACE, AURORA, CO 80045-2527
(303) 724-1784
Mailing address
12631 E 17TH AVE, MAILSTOP B177, AURORA, CO 80045-2527
(303) 724-1784
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0073486
CO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TL0008999
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029560
KAISER COMMERCIAL NUMBER
CO
05
—
9000194818
—
CO
Enumeration date
07/15/2021
Last updated
05/22/2024
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