Healthcare Provider Details
I. General information
NPI: 1497899108
Provider Name (Legal Business Name): MICHAEL A SARCHE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/16/2007
Last Update Date: 04/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3257 S LEYDEN ST
DENVER CO
80222-7641
US
IV. Provider business mailing address
3257 S LEYDEN ST
DENVER CO
80222-7641
US
V. Phone/Fax
- Phone: 303-759-9734
- Fax: 303-759-9734
- Phone: 303-759-9734
- Fax: 303-759-9734
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 246XS1301X |
| Taxonomy | Sonography Specialist/Technologist Cardiovascular |
| License Number | 16659 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: