Individual
AMY REBECCA YACTOR TOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Mailing address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-39427
KS
2085R0202X
Diagnostic Radiology Physician
29568
NE
2085R0202X
Diagnostic Radiology Physician
Primary
DR.0055337
CO
2085R0202X
Diagnostic Radiology Physician
MD18919
HI
2085R0202X
Diagnostic Radiology Physician
P6300
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386955516
—
IA
05
—
191127
—
AZ
05
—
201145320A
—
KS
05
—
71371281
—
CO
05
—
79454020
—
NM
Enumeration date
06/22/2010
Last updated
03/31/2024
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