Organization
TOXICOLOGY ASSOCIATES PROF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SU DIERBECK (ADMINISTRATOR)
(303) 765-3800
Entity
Organization
Contact information
Practice address
2555 S DOWNING ST, SUITE 260, DENVER, CO 80210-5855
(303) 765-3800
(303) 765-3804
Mailing address
2555 S DOWNING ST, SUITE 260, DENVER, CO 80210-5855
(303) 765-3800
(303) 765-3804
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22473
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01224732
—
CO
05
—
01281856
—
CO
05
—
01345784
—
CO
05
—
92374875
—
CO
Enumeration date
05/15/2007
Last updated
10/07/2009
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