Organization
ELITE OCULOPLASTIC SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE H WHITE MD (OWNER)
(303) 856-6850
Entity
Organization
Contact information
Practice address
5690 DTC BLVD, SUITE 130W, ENGLEWOOD, CO 80111
(303) 500-5042
(303) 872-6717
Mailing address
5690 DTC BLVD, SUITE 130W, ENGLEWOOD, CO 80111
(303) 500-5042
(303) 872-6717
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
45241
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CP2889
—
SC
Enumeration date
05/12/2009
Last updated
05/17/2024
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