Individual
DMITRIY I PALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
13111 E BRIARWOOD AVE STE 370, CENTENNIAL, CO 80112-3913
(720) 441-4410
Mailing address
9395 CROWN CREST BLVD, PARKER, CO 80138-8573
(303) 643-0124
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
46797
CO
207R00000X
Internal Medicine Physician
DP014651
MI
208M00000X
Hospitalist Physician
Primary
DR.0046797
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548282700
—
WY
01
—
200000002506
PHP
MI
05
—
22350314
—
CO
05
—
4525551
—
MI
01
—
P00054355
RAILROAD MEDICARE
MI
Enumeration date
07/24/2006
Last updated
01/25/2023
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