1659563278
Everything you always wanted to know about
ANGEL
JOSEPH
LUKE
DPT
but were afraid to ask.
ANGEL
JOSEPH
LUKE
DPT
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graph
| Provider Last Name |
Provider Middle Name |
Provider First Name |
Provider Credential |
ANGEL |
JOSEPH |
LUKE |
DPT |
- Gender:
- Male
- Enumeration date:
- 2007-08-16
- Last update date:
- 2012-12-27
- Current as of:
- 2007-08-28
- Is sole proprietor?:
- Yes
- Is organization subpart?:
- Not Answered
Identifiers
| identifier |
description |
issuer |
state |
active |
| 11365034 |
Medicare UPIN |
none |
CO |
1 |
Taxonomies
| Taxonomy |
State |
License Number |
Primary? |
|
2251X0800X Orthopedic
|
CO |
7951 |
|
Phone Numbers
| Type |
Number |
| Mailing Address Telephone Number |
9707591141 |
| Practice Location Address Telephone Number |
9702479415 |
Addresses
| Type |
Address |
City |
State |
Postal |
Country |
| Mailing Address |
457 ANIMAS VIEW DR C206 |
DURANGO |
CO |
81301 |
CO |
| Practice Location Address |
1485 FLORIDA RD #19 |
DURANGO |
CO |
81301 |
CO |