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NPI Code Detail

MEDICARE: ALIDA RAE NEAR M.D.

MEDICARE:   ALIDA RAE NEAR  M.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
1207L00000XAnesthesiology PhysicianDR.0022508CO

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 : 1013917756
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALIDA RAE NEAR M.D.
Provider Business Mailing Address
First Line : 300 E HAMPDEN AVE
Second Line : SUITE 202
City : ENGLEWOOD
State : CO
Zip : 80113-2638
Country : US
Telephone Number : 303-789-1940
Fax Number : 303-789-2132
Provider Business Practice Location Address
First Line : 501 E HAMPDEN AVE
Second Line :
City : ENGLEWOOD
State : CO
Zip : 80113-2702
Country : US
Telephone Number : 303-788-6749
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2005
Last Update Date : 02/11/2016

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Directions to “ ALIDA RAE NEAR M.D.” Practice Location

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