Individual
MIKHAIL DVORKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9450 E MISSISSIPPI AVE UNIT F, DENVER, CO 80247-2427
(720) 271-0914
Mailing address
9450 E MISSISSIPPI AVE UNIT F, DENVER, CO 80247-2427
(720) 271-0914
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
201511024023
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20151024023
MEDICAL SUPPLY
CO
Enumeration date
01/12/2015
Last updated
01/14/2015
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