Individual
DR. MARICARMEN NAZARIO MALAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
247199
NY
2085P0229X
Pediatric Radiology Physician
Primary
DR.0066289
CO
2085R0202X
Diagnostic Radiology Physician
MD445918
PA
Other
Enumeration date
05/27/2008
Last updated
09/03/2021
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