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Individual

NOEL FELISA SO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1601 E 19TH AVE, SUITE 3900, DENVER, CO 80218-1216
(720) 417-2677
Mailing address
1601 E 19TH AVE, SUITE 3900, DENVER, CO 80218-1216
(720) 417-2677

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
54270
MN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P01034506
MN MEC RAILROAD
MN
Enumeration date
06/14/2010
Last updated
08/06/2016
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