Individual
DR. RAYMOND ALAN MENCINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11700 W 2ND PL STE 100, LAKEWOOD, CO 80228-1707
(720) 321-8358
(720) 321-8231
Mailing address
PO BOX 911057, DENVER, CO 80291-1057
(888) 269-7001
(303) 764-6640
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25917
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01259175
—
CO
01
—
P00212100
RAILROAD MEDICARE
CO
Enumeration date
03/22/2006
Last updated
04/18/2018
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