Organization
MICHAEL PROCHODA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PROCHODA MD (PRESIDENT)
(970) 586-5894
Entity
Organization
Contact information
Practice address
555 PROSPECT AVE, ESTES PARK, CO 80517-6312
(970) 586-5894
(970) 586-3408
Mailing address
1175 58TH AVE, STE 202, GREELEY, CO 80634-4807
(970) 495-0300
(970) 224-9624
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36273821
—
CO
01
—
MI648880
ANTHEM BCBS
CO
Enumeration date
08/04/2005
Last updated
02/27/2008
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