Provider Demographics
NPI:1215513627
Name:MUIR, DANIEL KEITH (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:KEITH
Last Name:MUIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2695 ROCKY MOUNTAIN AVE STE. 150
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538
Mailing Address - Country:US
Mailing Address - Phone:970-624-2417
Mailing Address - Fax:970-490-4173
Practice Address - Street 1:9620 E ARAPAHOE ROAD
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80012-7494
Practice Address - Country:US
Practice Address - Phone:303-835-9915
Practice Address - Fax:303-320-5399
Is Sole Proprietor?:No
Enumeration Date:2021-03-24
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
CODR.0073289207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program