Individual
MICHAEL A. DALLENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2135 JERRY MURPHY RD, PUEBLO, CO 81001-1262
(719) 542-4600
(719) 542-4610
Mailing address
2135 JERRY MURPHY RD, PUEBLO, CO 81001-1262
(719) 542-4600
(719) 542-4610
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
33861
CO
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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