Organization
JANE MICELI, MD PROF. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANE F. MICELI M.D (OWNER/ SOLE PROPRIETER)
(303) 691-6842
Entity
Organization
Contact information
Practice address
3540 S POPLAR ST, SUITE 305, DENVER, CO 80237-1360
(303) 691-6842
(303) 322-4540
Mailing address
3540 S POPLAR ST, SUITE 305, DENVER, CO 80237-1360
(303) 691-6842
(303) 322-4540
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
30540
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104907708
INDIVIDUAL NPI
—
01
—
451368
MEDICARE GROUP IDENTIFIER
—
Enumeration date
07/10/2007
Last updated
07/10/2007
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