Organization
MILE HIGH OB GYN ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA LALICH (BILLING MANAGER)
(303) 239-0309
Entity
Organization
Contact information
Practice address
425 S CHERRY ST STE 300, DENVER, CO 80246-1230
(303) 388-4631
(303) 320-6961
Mailing address
PO BOX 461309, DENVER, CO 80246-5309
(303) 388-4631
(303) 320-6961
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16572769
—
CO
Enumeration date
09/20/2006
Last updated
01/17/2014
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