Individual
DR. MICHAEL PROCHODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 PROSPECT AVE, ESTES PARK, CO 80517
(970) 586-2200
(970) 577-4536
Mailing address
555 PROSPECT AVE, ESTES PARK, CO 80517-6312
(970) 586-2200
(970) 577-4536
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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