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NPI Code Detail

MEDICARE: EMILY SARAH MISCH MD

MEDICARE:   EMILY SARAH MISCH  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
1207YS0123XFacial Plastic Surgery PhysicianDR.0067705CO
2207Y00000XOtolaryngology PhysicianMD478123PA

General Provider Information

NPI Number : 1689037947
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY SARAH MISCH MD
Provider Business Mailing Address
First Line : 500 E HAMPDEN AVE STE 300
Second Line :
City : ENGLEWOOD
State : CO
Zip : 80113-2886
Country : US
Telephone Number : 303-567-7703
Fax Number : 303-567-7703
Provider Business Practice Location Address
First Line : 500 E HAMPDEN AVE STE 300
Second Line :
City : ENGLEWOOD
State : CO
Zip : 80113-2795
Country : US
Telephone Number : 330-714-6937
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2016
Last Update Date : 10/02/2025

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