Theodore R Villavicencio, MD
Family Medicine in Conifer, CO. Individual provider (NPI-1).
NPI number1366496366
StatusActive
Last updated in NPPESNov 9, 2011
Details
- NPI
- 1366496366
- Entity type
- Individual (NPI-1)
- Name
- Theodore R Villavicencio
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 22, 2006
- Last updated
- Nov 9, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 31320 | CO | Yes |
Practice location
10791 Kitty DrSuite A
Conifer, CO 80433
Phone 303-838-4686 · Fax 303-816-4905
Mailing address
10791 Kitty DrSuite A
Conifer, CO 80433
Phone 303-838-4686 · Fax 303-816-4905
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- Mark Cianfichi, DONPI 1023637931
- David D Linn MD Family Medicine PCNPI 1053329383
- David D Linn, MDNPI 1275587271
- Monique M. Maly, M.D.NPI 1861549859
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All 12 Family Medicine Physician providers in Conifer · All 268 providers in Conifer
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