Provider Demographics
NPI:1841399896
Name:SILVA, DAVID RONALD (DO)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:RONALD
Last Name:SILVA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:361 N COLLEGE DR
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-6894
Mailing Address - Country:US
Mailing Address - Phone:970-382-8292
Mailing Address - Fax:
Practice Address - Street 1:575 RIVERGATE UNIT 204
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-7490
Practice Address - Country:US
Practice Address - Phone:970-382-8292
Practice Address - Fax:970-382-0073
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COC0321222081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC032122OtherLICENSE
COC032122OtherLICENSE