Individual
DR. MITCHEL TIMOTHY HOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11000 E 45TH AVE, DENVER, CO 80239-3004
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
02002871A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
048031
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01523571
—
CO
01
—
024949
KAISER COMMERCIAL NUMBER
CO
Enumeration date
01/18/2006
Last updated
06/28/2022
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