Individual
DR. KEITH DANGLEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 E HAMPDEN AVE, ENGLEWOOD, CO 80113-2702
(303) 761-9190
(720) 874-4462
Mailing address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-36229
KS
2085R0202X
Diagnostic Radiology Physician
25007
NE
2085R0202X
Diagnostic Radiology Physician
Primary
38513
CO
2085R0202X
Diagnostic Radiology Physician
MD17542
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0062338
—
OH
05
—
02300172
—
NY
05
—
10025709000
—
NE
05
—
104686060
—
MI
05
—
117325100
—
WY
05
—
1528044781
—
CA
05
—
1528044781
—
IA
05
—
1528044781
—
IL
05
—
1528044781
—
ME
05
—
1528044781
—
MI
05
—
1528044781
—
MO
05
—
1528044781
—
TX
05
—
1528044781
—
UT
05
—
1528044781/7726670
—
SD
05
—
175662
—
AZ
05
—
200236530A
—
OK
05
—
200418390A
—
KS
05
—
36952885
—
CO
05
—
68229828
—
NM
05
—
84-059792913
—
NE
05
—
99111975
—
WI
05
—
MD366CO
—
AK
Enumeration date
12/20/2005
Last updated
12/09/2022
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