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Individual

MICHAEL T DESALVO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
STUDENT

Contact information

Practice address
11059 E. BETHANY DR. STE 200, AURORA, CO 80014
(303) 617-2300
(303) 617-2397
Mailing address
967 MARION STREET #19, DENVER, CO 80218

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
941660856
CO

Other

Enumeration date
06/14/2013
Last updated
06/14/2013
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