Michael Distefano
MD | Pediatric Emergency Medicine | Male
Michael Distefano, MD is a Aurora, Colorado based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Michael Distefano is
13123 E 16th Ave, Aurora, Colorado - 80045-7106. He can be contacted on phone at
720-777-1234.
Michael Distefano is a sole proprietor of his business.
NPI number (Unique professional ID) for Michael Distefano is
1669552006 which was assigned by NPPES on 17 Oct, 2006 and it was last updated on 03 Jul, 2012.
Michael Distefano license number is
51012 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Colorado.
Michael Distefano has special qualifications to manage emergencies in infants and children.
Complete Profile:
Michael Distefano basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Michael Distefano |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Michael Distefano address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 13123 E 16th Ave
Aurora, CO, 80045-7106
United States |
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| Phone Number : | 720-777-1234 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1669552006 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Oct, 2006 |
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| Last Updated On : | 03 Jul, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael Distefano are as mentioned. Primary taxonomy code for Michael Distefano, MD is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | M2307 | TX |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 51012 | CO |
Legacy Identifiers:
Other legacy medical identifiers of Michael Distefano such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 177033101 | MEDICAID | TX | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 110429
Aurora, CO, 80042-0429
United States |
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| Phone Number : | 303-493-7000 |
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| Fax Number : | 720-777-7317 |
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Business Location:
Patients can refer following map for directions to
Michael Distefano practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.