Individual
MEGAN W ELIASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4231 W 16TH AVE, DENVER, CO 80204-1335
(303) 629-2333
(303) 595-2662
Mailing address
DEPT 1057, DENVER, CO 80291-1057
(303) 486-5504
(303) 486-5501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
39090
CO
207Q00000X
Family Medicine Physician
Primary
DR.0039090
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89382331
—
CO
Enumeration date
08/07/2006
Last updated
09/19/2022
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