Individual
DR. JOANNE MARIA VITANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7972 SOUTH JACKSON STREET, CENTENNIAL, CO 80122
(303) 799-6854
Mailing address
7972 SOUTH JACKSON STREET, CENTENNIAL, CO 80122
(303) 799-6854
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
30367
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01303676
—
CO
Enumeration date
07/22/2006
Last updated
03/17/2018
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