Individual
ANDREA KATHERINE MYTINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
274 UNION BLVD STE 110, LAKEWOOD, CO 80228
(303) 951-0600
(303) 951-0605
Mailing address
274 UNION BLVD STE 110, LAKEWOOD, CO 80228-1836
(303) 951-0600
(303) 951-0605
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0065414
CO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
DR.0065414
CO
207RP1001X
Pulmonary Disease Physician
DR.0065414
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
07/17/2014
Last updated
07/29/2021
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