Provider Demographics
NPI:1134268360
Name:MUNOZ, DAVID (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:MUNOZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1921 SHERIDAN BLVD
Mailing Address - Street 2:UNIT C
Mailing Address - City:EDGEWATER
Mailing Address - State:CO
Mailing Address - Zip Code:80214-1314
Mailing Address - Country:US
Mailing Address - Phone:720-321-8880
Mailing Address - Fax:720-321-8881
Practice Address - Street 1:4200 W CONEJOS PL
Practice Address - Street 2:SUITE 134
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-1333
Practice Address - Country:US
Practice Address - Phone:720-321-8880
Practice Address - Fax:720-321-8881
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2013-12-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO33332208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01333327Medicaid
CO01333327Medicaid