Michael Darby Pettersen, MD | |
2055 N High St, Suite 255, Denver, CO 80205-5503 | |
(303) 860-9933 | |
(303) 839-5844 |
Full Name | Michael Darby Pettersen |
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Gender | Male |
Speciality | Pediatrics - Pediatric Cardiology |
Location | 2055 N High St, Denver, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700824430 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0202X | Pediatrics - Pediatric Cardiology | DR-50708 (Colorado) | Primary |
Entity Name | Obstetrix Medical Group Of Colorado Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497779276 PECOS PAC ID: 6709776651 Enrollment ID: O20040316001040 |
Entity Name | Swedish Porter Ekg Interpretation Service |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689632176 PECOS PAC ID: 8921084161 Enrollment ID: O20040628000886 |
Mailing Address | Practice Location Address |
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Michael Darby Pettersen, MD 2055 N High St, Suite 255, Denver, CO 80205-5503 Ph: (303) 860-9933 | Michael Darby Pettersen, MD 2055 N High St, Suite 255, Denver, CO 80205-5503 Ph: (303) 860-9933 |
Dr. Lisa Marie Griss, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1719 E 19th Ave, Denver, CO 80218 Phone: 303-754-4400 | |
Gregory Q Miranda, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 777 Bannock St, Mc 7782, Denver, CO 80204 Phone: 303-436-6000 | |
John W Ogle, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 777 Bannock St, Mc 7782, Denver, CO 80204 Phone: 303-436-6000 | |
Dr. Lisa D Whitesides, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10400 E Alameda Ave, Denver, CO 80247 Phone: 303-338-4545 | |
Kevin Friedman, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: University Of Colorado School Of Medicine, Denver, CO 80262 Phone: 303-493-7000 | |
Matthew Soden, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 501 S Cherry St Ste 1100, Denver, CO 80246 Phone: 720-593-6711 Fax: 720-706-1393 | |
Dr. Danielle Roberts, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 777 Bannock St, Denver, CO 80204 Phone: 303-602-9250 |