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Individual

DR. MICHAEL L KLOEP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
95 S PAGOSA BLVD, PAGOSA SPRINGS, CO 81147-8329
(970) 731-3700
(970) 731-3708
Mailing address
95 S PAGOSA BLVD, PAGOSA SPRINGS, CO 81147-8329
(970) 731-3700
(970) 731-3708

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-076646
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036076646-3
IL
05
1649220245
KY
Enumeration date
05/12/2006
Last updated
09/06/2019
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