Healthcare Provider Details

I. General information

NPI: 1992202576
Provider Name (Legal Business Name): MICHAEL DABIT DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2018
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 HALE PKWY STE 430
DENVER CO
80220-4000
US

IV. Provider business mailing address

4600 HALE PKWY STE 430
DENVER CO
80220-4000
US

V. Phone/Fax

Practice location:
  • Phone: 720-508-8855
  • Fax:
Mailing address:
  • Phone: 720-508-8855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberFE214421
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberDR.0071078
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: