Individual
DR. DAMIAN N MIZERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
328 S BONAVENTURE AVE STE 3, TRINIDAD, CO 81082-2086
(719) 845-4296
(719) 846-8285
Mailing address
410 BENEDICTA AVE, TRINIDAD, CO 81082-2093
(719) 846-9213
(719) 846-8285
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2006024365
MO
207X00000X
Orthopaedic Surgery Physician
DR.0060695
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207190604
—
MO
Enumeration date
09/06/2006
Last updated
11/07/2025
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