Organization
ALTITUDE FAMILY & INTERNAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS HANSEN M.D. (CEO, PRESIDENT)
(303) 730-2167
Entity
Organization
Contact information
Practice address
13402 W COAL MINE AVE, SUITE 230, LITTLETON, CO 80127-5407
(303) 730-2167
(303) 996-4820
Mailing address
13402 W COAL MINE AVE, SUITE 230, LITTLETON, CO 80127-5407
(303) 730-2167
(303) 996-4820
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COB4616
MEDICARE PTAN
CO
Enumeration date
11/15/2007
Last updated
08/13/2009
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