Individual
RUSSELL CHANDLER TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8000 E MAPLEWOOD AVE STE 120, GREENWOOD VILLAGE, CO 80111-4766
(303) 438-3999
(720) 439-9500
Mailing address
PO BOX 840862, DALLAS, TX 75284-0862
(303) 377-7638
(303) 780-0787
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DR.0063818
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02322366
—
NM
05
—
1316301963
—
CO
05
—
225976100
—
WY
Enumeration date
04/11/2016
Last updated
12/01/2023
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