# OPTUMCARE COLORADO MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Colorado Center for Arthritis & Osteoporosis
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922893478
- **Authorized official:** EMILY CASTILLO (ASSOCIATE DIRECTOR)
- **Authorized official phone:** (702) 480-2550

## Contact information

- **Practice address:** 2503 WALNUT ST STE 200, BOULDER, CO 80302-5745
- **Practice address phone:** (720) 494-4700
- **Practice address fax:** (720) 494-4706
- **Mailing address:** PO BOX 35380, LAS VEGAS, NV 89133-5380
- **Mailing address phone:** (702) 579-3203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RR0500X | Rheumatology Physician | — | NULL | Yes |
| 207RR0500X | Rheumatology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/14/2025
- **Last updated:** 04/14/2025