MEDICARE: DR. GALO F GARCES MD

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
1	207RN0300X	Nephrology Physician	43391	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619956075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GALO F GARCES MD

Provider Business Mailing Address
First Line	:	130 RAMPART WAY
Second Line	:	300-B
City	:	DENVER
State	:	CO
Zip	:	80230-6440
Country	:	US
Telephone Number	:	303-327-4700
Fax Number	:	303-327-4711

Provider Business Practice Location Address
First Line	:	4545 E 9TH AVE
Second Line	:	150
City	:	DENVER
State	:	CO
Zip	:	80220-3901
Country	:	US
Telephone Number	:	303-327-4700
Fax Number	:	303-327-4711

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2006
Last Update Date	:	01/04/2008

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