Individual
TODD LANE KOOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Mailing address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-36314
KS
2085R0202X
Diagnostic Radiology Physician
26523
NE
2085R0202X
Diagnostic Radiology Physician
50665
CO
2085R0202X
Diagnostic Radiology Physician
MD17508
HI
2085R0204X
Vascular & Interventional Radiology Physician
Primary
DR.0050665
CO
2085R0204X
Vascular & Interventional Radiology Physician
MD00046721
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00978566
—
CO
05
—
1104938208
—
MT
05
—
1104938208
—
WY
05
—
200870140A
—
KS
Enumeration date
08/31/2006
Last updated
03/29/2024
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