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Contact Information

MIKAILA H PENCE, MD
613 EAST MAIN STREET
BUENA VISTA, CO81211
 Phone: 719-890-7723
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MIKAILA H PENCE · (Female)

NPI Number 1215198718
Status Active
Credentials MD
Entity Individual
Enumeration date 06/18/2008
Last updated 07/26/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 49826
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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