Organization
MILE HIGH PSYCHIATRY LLC
Active
Other names
Mile High Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL K CHISM II (NP/CEO)
(720) 507-4779
Entity
Organization
Contact information
Practice address
848 N RAINBOW BLVD # 228, LAS VEGAS, NV 89107-1103
(720) 507-4779
(720) 367-5067
Mailing address
15355 E COLFAX AVE UNIT 111717, AURORA, CO 80042-1975
(720) 507-4779
(720) 367-5067
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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