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Individual

MARCO A CELADA SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19021 US HIGHWAY 285, LA JARA, CO 81140
(719) 274-5121
(719) 274-6004
Mailing address
PO BOX 639, LA JARA, CO 81140-0639
(719) 274-5121
(719) 274-6003

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27052
CO

Other

Enumeration date
03/23/2006
Last updated
10/07/2011
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