Provider Demographics
NPI:1861442410
Name:CITRON, DANIEL CRAIG (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:CRAIG
Last Name:CITRON
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 1:4545 E 9TH AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-3904
Mailing Address - Country:US
Mailing Address - Phone:303-320-7744
Mailing Address - Fax:303-388-2003
Practice Address - Street 1:4545 E 9TH AVE STE 400
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3904
Practice Address - Country:US
Practice Address - Phone:303-320-7744
Practice Address - Fax:303-388-2003
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO23117207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01231174Medicaid
COD28317Medicare UPIN
CO01231174Medicaid
CO541145YL7XMedicare PIN