Provider Demographics
NPI:1164819611
Name:DEFRANCISCO, DANIEL (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:DEFRANCISCO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13001 EAST 17TH PLACE, MAIL STOP F546
Mailing Address - Street 2:FITZSIMONS BUILDING, ROOM E2330
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045
Mailing Address - Country:US
Mailing Address - Phone:303-724-6019
Mailing Address - Fax:212-420-2181
Practice Address - Street 1:13001 EAST 17TH PLACE, MAIL STOP F546
Practice Address - Street 2:FITZSIMONS BUILDING, ROOM E2330
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045
Practice Address - Country:US
Practice Address - Phone:303-724-6019
Practice Address - Fax:212-420-2181
Is Sole Proprietor?:No
Enumeration Date:2015-04-22
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.00622362084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry