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Individual

DR. MARECA DENALI PALLISTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1 MERCADO ST STE 105, DURANGO, CO 81301-7311
(970) 382-8800
(970) 382-0122
Mailing address
1 MERCADO ST STE 105, DURANGO, CO 81301-7311
(970) 382-8800
(970) 382-0122

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
12435
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1010761
VT
05
30204572
NH
Enumeration date
07/15/2006
Last updated
03/08/2021
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