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Organization

MILE HIGH OTOLARYNGOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TODD WILLIAM BEATTY M.D. (OWNER)
(303) 487-0834
Entity
Organization

Contact information

Practice address
6870 W 52ND AVE STE 207, ARVADA, CO 80002
(303) 487-0834
(303) 487-6932
Mailing address
6870 W 52ND AVE STE 207, ARVADA, CO 80002-3953
(303) 487-0834
(303) 487-6932

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01273838
CO
05
01361898
CO
05
MI653802
CO
Enumeration date
11/03/2006
Last updated
08/08/2023
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