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Individual

DR. CYRUS A MIRSHAB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
238 CLEMENTINA ST, LOUISVILLE, CO 80027-9469
(303) 521-6278
Mailing address
238 CLEMENTINA ST, LOUISVILLE, CO 80027-9469
(303) 521-6278

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
39165
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
016356
KAISER-COMMERCIAL NUMBER
05
54380243
CO
Enumeration date
03/07/2007
Last updated
04/27/2023
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