Individual
DR. CRISTEN J MAZZELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10400 E ALAMEDA AVE, DENVER, CO 80247-5104
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01062341A
IN
207R00000X
Internal Medicine Physician
Primary
47319
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024111
KAISER COMMERCIAL NUMBER
CO
05
—
55608736
—
CO
Enumeration date
07/03/2006
Last updated
06/02/2021
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