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Individual

DR. MICHAEL P COSBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.D.

Contact information

Practice address
180 ADAMS ST STE 100, DENVER, CO 80206-5222
(303) 321-0333
(303) 393-0617
Mailing address
180 ADAMS ST STE 100, DENVER, CO 80206-5222
(303) 321-0333
(303) 393-0617

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
779
CO
174400000X
Specialist
20353
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38537575
CO
Enumeration date
12/01/2006
Last updated
06/04/2008
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