MEDICARE: DAVID MUNOZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	33332	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134268360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID MUNOZ M.D.

Provider Business Mailing Address
First Line	:	1921 SHERIDAN BLVD
Second Line	:	UNIT C
City	:	EDGEWATER
State	:	CO
Zip	:	80214-1314
Country	:	US
Telephone Number	:	720-321-8880
Fax Number	:	720-321-8881

Provider Business Practice Location Address
First Line	:	4200 W CONEJOS PL
Second Line	:	SUITE 134
City	:	DENVER
State	:	CO
Zip	:	80204-1333
Country	:	US
Telephone Number	:	720-321-8880
Fax Number	:	720-321-8881

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	12/12/2013

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