Organization
AMIR MICHAEL ABTAHI MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMIR MICHAEL ABTAHI MD (PHYSICIAN)
(801) 232-6489
Entity
Organization
Contact information
Practice address
575 RIVERGATE UNIT 109, DURANGO, CO 81301-7488
(970) 382-8292
(970) 382-0073
Mailing address
575 RIVERGATE UNIT 109, DURANGO, CO 81301-7488
(970) 382-8292
(970) 382-0073
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
CO56569
CO
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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