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NPI Code Detail

MEDICARE: ANDREW A MEADE MD

MEDICARE:   ANDREW A MEADE  MD
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
12085R0202XDiagnostic Radiology Physician44575WI
22085R0202XDiagnostic Radiology Physician46660CO

Other Identifiers

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

General Provider Information

NPI Number : 1770586356
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW A MEADE MD
Provider Business Mailing Address
First Line : 1746 COLE BLVD
Second Line : SUITE 150
City : LAKEWOOD
State : CO
Zip : 80401-3208
Country : US
Telephone Number : 303-716-3787
Fax Number : 303-716-3777
Provider Business Practice Location Address
First Line : 1746 COLE BLVD
Second Line : SUITE 150
City : LAKEWOOD
State : CO
Zip : 80401-3208
Country : US
Telephone Number : 303-716-3787
Fax Number : 303-716-3777
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 03/10/2011

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