Provider Demographics
NPI:1326064353
Name:GENTILE, MARIA T (DO)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:T
Last Name:GENTILE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:4901 W 38TH AVE
Mailing Address - Street 2:STE 4
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80212-2025
Mailing Address - Country:US
Mailing Address - Phone:303-781-7862
Mailing Address - Fax:303-781-7864
Practice Address - Street 1:4901 W 38TH AVE
Practice Address - Street 2:STE 4
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80212-2025
Practice Address - Country:US
Practice Address - Phone:303-781-7862
Practice Address - Fax:303-781-7864
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2011-06-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO41523204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
COGE5788OtherBLUE CROSS BLUE SHIELD
CO20437900301OtherPACIFICARE
CO612568700OtherACS DEPT OF LABOR
CO20437900380113OtherCHAMPUS WEST REGION
COGE5788OtherBLUE CROSS BLUE SHIELD
CO20437900380113OtherCHAMPUS WEST REGION