Individual
VASSILY T ELIOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 SUPERIOR DR STE 225, SUPERIOR, CO 80027-8661
(303) 414-2083
(303) 414-2042
Mailing address
3 SUPERIOR DR STE 225, SUPERIOR, CO 80027-8661
(303) 414-2083
(303) 414-2042
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
50371
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215149463
—
WY
01
—
20326023101
PACIFICARE SECURE HORIZONS
—
05
—
24551830
—
CO
01
—
315252
BSWY
WY
01
—
605960009
USDLAB
WY
01
—
P01075423
RR MEDICARE
—
Enumeration date
05/03/2007
Last updated
11/12/2024
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