Individual
DALE TERASAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 303-4364
(303) 602-6931
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 303-4364
(303) 602-6931
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0060426
CO
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
DR.0060426
CO
Other
Enumeration date
04/03/2015
Last updated
12/31/2024
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