Alida Rae Near M.D.

NPI 1013917756 - Specialist - 174400000X

NPI Details
NPI 1013917756
Gender Female
Enumeration Date 07/22/2005
Last Updated 02/11/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
501 E HAMPDEN AVE
ENGLEWOOD CO, 80113-2702, US
Phone (303) 788-6749
Fax
Business Location
300 E HAMPDEN AVE
SUITE 202
ENGLEWOOD CO, 80113-2638, US
Phone (303) 789-1940
Fax (303) 789-2132
Toxanomy
Taxonomy Code 174400000X
License State Colorado
License Number 22508
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According to our database, Alida Rae Near M.D. NPI is 1013917756, taxonomy code is 174400000X and license number is 22508, license state is located at Colorado. Alida Rae Near M.D. physically located at 501 E Hampden Ave, Englewood CO, 80113-2702. NPI Number Alida Rae Near M.D. has the Individual type.

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1013917756 NPI number is provided on an as is basis without warranty of any kind. 1013917756 is maintained by the National Plan & Provider Enumeration System. The contents of Alida Rae Near M.D. are for informational purposes only.