Individual
MICHAEL J TARAVELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-2020
(720) 848-5079
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
27837
CO
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
DR.0027837
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01278373
—
CO
Enumeration date
11/02/2006
Last updated
03/28/2018
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