Organization
COLORADO HEALTH PROVIDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE EVANS (CREDENTIALING SPECIALIST)
(951) 234-0041
Entity
Organization
Contact information
Practice address
1550 S POTOMAC ST STE 320, AURORA, CO 80012-5448
(970) 221-9451
(877) 535-9359
Mailing address
PO BOX 889, LOVELAND, CO 80539-0889
(970) 221-9451
(877) 535-9359
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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