Individual
DR. MICHAEL PROCHODA
Active
Individual
DR. MICHAEL PROCHODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
33113
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01331131
—
CO
01
—
180041875
RAILRAOD MEDICARE
—
05
—
36273821
—
CO
01
—
PR74021
ANTHEM BCBS
CO
Enumeration date
08/16/2005
Last updated
06/20/2018
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