Healthcare Provider Details

I. General information

NPI: 1134186646
Provider Name (Legal Business Name): MICHAEL JUDE METROS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 02/15/2024
Certification Date: 02/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 E 9TH AVE STE 330
DENVER CO
80220-3930
US

IV. Provider business mailing address

1707 COLE BLVD STE #100
GOLDEN CO
80401
US

V. Phone/Fax

Practice location:
  • Phone: 303-388-4076
  • Fax: 303-320-0439
Mailing address:
  • Phone: 303-716-8013
  • Fax: 303-763-5495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number31936
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number31936
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: