# ALPINE MEDICAL GROUP COLORADO PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** COLORADO PHYSICIAN PARTNERS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134966021
- **Authorized official:** KERRY DOYLE (CREDENTIALING SUPERVISOR)
- **Authorized official phone:** (720) 728-5170

## Contact information

- **Practice address:** 2141 ACADEMY CIRCLE, COLORADO SPRINGS, CO 80909-1686
- **Practice address phone:** (719) 597-4200
- **Practice address fax:** (719) 597-4495
- **Mailing address:** 999 17TH ST STE 500, DENVER, CO 80202-2728
- **Mailing address phone:** (720) 728-5170
- **Mailing address fax:** (720) 866-9967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/09/2024
- **Last updated:** 07/09/2024