Provider Demographics
NPI:1598848962
Name:VICTOROFF, MICHAEL SOMERS (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:SOMERS
Last Name:VICTOROFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5195 E WEAVER DR
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80121-3500
Mailing Address - Country:US
Mailing Address - Phone:303-779-6084
Mailing Address - Fax:303-779-2508
Practice Address - Street 1:5195 E WEAVER DR
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80121-3500
Practice Address - Country:US
Practice Address - Phone:303-779-6084
Practice Address - Fax:303-779-2508
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-21
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO22324207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine