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Individual

DR. MICAH BENJAMIN NAIMARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2045 N FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
DR.0071272
CO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD188782
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
029465
KAISER COMMERCIAL NUMBER
CO
05
500748258
OR
01
R203748
MEDICARE PTAN
OR
Enumeration date
03/26/2012
Last updated
09/05/2023
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