Provider Demographics
NPI:1639201304
Name:MULLER, DAVID JOHN (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:JOHN
Last Name:MULLER
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 1:165 COOK ST
Mailing Address - Street 2:#100
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-5308
Mailing Address - Country:US
Mailing Address - Phone:303-321-0738
Mailing Address - Fax:
Practice Address - Street 1:165 COOK ST
Practice Address - Street 2:#100
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-5308
Practice Address - Country:US
Practice Address - Phone:303-321-0738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO166352084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
E84043Medicare ID - Type Unspecified