Organization
ADVANCED EAR, NOSE & THROAT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R MENACHOF MD (OWNER)
(303) 792-3242
Entity
Organization
Contact information
Practice address
7400 E CRESTLINE CIR, SUITE 100, GREENWOOD VILLAGE, CO 80111-3656
(303) 792-3242
(303) 792-9403
Mailing address
7400 E CRESTLINE CIR, SUITE 100, GREENWOOD VILLAGE, CO 80111-3656
(303) 792-3242
(303) 792-9403
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
31645
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01316454
—
CO
01
—
1275724932
NPI
—
01
—
1396871265
NPI
CO
01
—
1710065446
NPI
CO
05
—
48138274
—
CO
Enumeration date
11/01/2006
Last updated
08/01/2014
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