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NPI Code Detail

MEDICARE: DIEGO ALEXANDER POSADA O.D.

MEDICARE: DIEGO ALEXANDER POSADA O.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
1152W00000XOptometrist2005CO

General Provider Information

NPI Number : 1467599977
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIEGO ALEXANDER POSADA O.D.
Provider Business Mailing Address
First Line : 9407 E 147TH PL
Second Line :
City : BRIGHTON
State : CO
Zip : 80602-5713
Country : US
Telephone Number : 720-280-6389
Fax Number :
Provider Business Practice Location Address
First Line : 5990 DAHLIA ST
Second Line : SUITE A
City : COMMERCE CITY
State : CO
Zip : 80022-3708
Country : US
Telephone Number : 303-287-2777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2007
Last Update Date : 07/08/2007

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