Provider Demographics
NPI:1316244932
Name:MIDLAND, CAROLYN JOY (CYT)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:JOY
Last Name:MIDLAND
Suffix:
Gender:F
Credentials:CYT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2861 W 120TH AVE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80234-2987
Mailing Address - Country:US
Mailing Address - Phone:303-887-8040
Mailing Address - Fax:
Practice Address - Street 1:2861 W 120TH AVE
Practice Address - Street 2:SUITE 220
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-2987
Practice Address - Country:US
Practice Address - Phone:303-887-8040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-16
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist