Individual
GRACE A ALFONSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
777 BANNOCK ST, MC 7782, DENVER, CO 80204-4507
(303) 436-6000
Mailing address
777 BANNOCK ST, MC 7782, DENVER, CO 80204-4507
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35812
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66622395
—
CO
01
—
80178356
RAILROAD MEDICARE
CO
Enumeration date
08/08/2006
Last updated
03/18/2021
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