Provider Demographics
NPI:1992200240
Name:GARZA, MADELINE RONAN
Entity Type:Individual
Prefix:DR
First Name:MADELINE
Middle Name:RONAN
Last Name:GARZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8155 PINEY RIVER AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80125-8729
Mailing Address - Country:US
Mailing Address - Phone:303-265-3390
Mailing Address - Fax:720-516-0237
Practice Address - Street 1:8155 PINEY RIVER AVE STE 100
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80125-8729
Practice Address - Country:US
Practice Address - Phone:303-265-3390
Practice Address - Fax:720-516-0237
Is Sole Proprietor?:No
Enumeration Date:2018-03-28
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.00685902084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology