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NPI Code Detail

MEDICARE: IES COLORADO PLLC

MEDICARE: IES COLORADO PLLC
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
1207P00000XEmergency Medicine Physician

General Provider Information

NPI Number : 1245089028
Entity Type Code : Organization
Provider Name (Legal Business Name) : IES COLORADO PLLC
Provider Business Mailing Address
First Line : PO BOX 3309
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46206-3309
Country : US
Telephone Number : 469-420-5587
Fax Number :
Provider Business Practice Location Address
First Line : 1375 E 19TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80218-1114
Country : US
Telephone Number : 303-812-2000
Fax Number :
Authorized Official
Title or Position : OWNER
Name : NESTOR ZENAROSA
Credential : MD
Telephone Number : 469-420-5527
Provider Enumeration Date : 05/15/2024
Last Update Date : 04/30/2026

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Directions to “IES COLORADO PLLC ” Practice Location

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