Individual
SUSAN LYN TIEGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10099 RIDGEGATE PKWY, SUITE 360, LONE TREE, CO 80124-5531
(303) 798-3247
(303) 798-3248
Mailing address
10099 RIDGEGATE PKWY, SUITE 360, LONE TREE, CO 80124-5531
(303) 798-3247
(303) 798-3248
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
33949
CO
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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