Organization
WOMENS CLINIC OF THE PLAINS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE L SORIANO MD (OWNER)
(970) 542-0930
Entity
Organization
Contact information
Practice address
3464 S WILLOW ST # 555, DENVER, CO 80231-4531
(303) 755-2900
(303) 755-0404
Mailing address
1000 LINCOLN ST # 230, FORT MORGAN, CO 80701-3210
(970) 542-0930
(970) 542-0934
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
38136
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38136
STATE LICENSE
CO
05
—
94789746
—
CO
01
—
DF8550
RAILROAD MEDICARE
CO
Enumeration date
08/19/2006
Last updated
11/02/2007
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