Individual
DR. TIMOTHY JAMES ELDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1080 S SABLE BLVD, AURORA, CO 80012-3796
(303) 552-9577
(415) 252-7176
Mailing address
1080 S SABLE BLVD, AURORA, CO 80012-3796
(303) 552-9577
(415) 252-7176
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49243
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028509
KAISER COMMERCIAL NUMBER
CO
01
—
49243
STATE LICENSE NUMBER
CO
05
—
58733256
—
CO
Enumeration date
06/15/2007
Last updated
04/17/2025
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