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Organization

NINTH AVENUE INTERNAL MEDICINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL WITTEN MD (MANAGING PARTNER)
(303) 394-2152
Entity
Organization

Contact information

Practice address
4500 E 9TH AVE, SUITE 140, DENVER, CO 80220-3900
(303) 394-2152
(303) 394-2496
Mailing address
4500 E 9TH AVE, SUITE 140, DENVER, CO 80220-3900
(303) 394-2152
(303) 394-2496

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
73100374
CO
Enumeration date
08/12/2006
Last updated
09/24/2007
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