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Individual

TODD A MCGRATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1010 THREE SPRINGS BLVD, DURANGO, CO 81301
(970) 247-4311
(303) 306-7753
Mailing address
PO BOX 17752, DENVER, CO 80217-0752
(303) 306-7783
(303) 306-7753

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101020112
MI
207P00000X
Emergency Medicine Physician
A-2122-18
NM
207P00000X
Emergency Medicine Physician
Primary
DR.0054983
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
85976571
CO
Enumeration date
06/28/2012
Last updated
06/11/2018
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