Organization
IES COLORADO PLLC
Active
Parent organization
IES COLORADO PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
IES COLORADO PLLC
Authorized official
LAURA CARRIZALES CHAVEZ (MANAGER, PROVIDER ENROLLMENT)
(214) 214-1278
Entity
Organization
Contact information
Practice address
11900 GRANT ST, NORTHGLENN, CO 80233-1117
(303) 812-5095
Mailing address
PO BOX 3309, INDIANAPOLIS, IN 46206-3309
(317) 612-0270
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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