Individual
DR. MARY AGNES MAYTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
215 S PARKSIDE DR STE 215, COLORADO SPRINGS, CO 80910-3131
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
200028
LA
207Q00000X
Family Medicine Physician
44037
MN
207Q00000X
Family Medicine Physician
Primary
DR.0064049
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029304
KAISER COMMERCIAL NUMBER
CO
05
—
1479039
—
LA
Enumeration date
06/30/2006
Last updated
10/06/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us