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NPI Code Detail

MEDICARE: DANIEL T TELL DO

MEDICARE: DANIEL T TELL DO
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
1207RH0003XHematology & Oncology Physician32242CO

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 : 1477541795
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL T TELL DO
Provider Business Mailing Address
First Line : 7951 E MAPLEWOOD AVE
Second Line : SUITE300
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-4723
Country : US
Telephone Number : 303-930-7800
Fax Number : 303-930-7860
Provider Business Practice Location Address
First Line : 2312 N NEVADA AVE STE 400
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-5320
Country : US
Telephone Number : 719-577-2555
Fax Number : 719-577-2553
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2005
Last Update Date : 08/29/2016

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