Individual
DR. ELENA ANISIMOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1260 S PARKER RD STE 201, DENVER, CO 80231
Mailing address
1260 S PARKER RD, STE 201, DENVER, CO 80231-8064
(303) 802-5444
(303) 848-4805
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41995
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59807555
—
CO
05
—
70533067
—
CO
Enumeration date
11/09/2005
Last updated
08/01/2018
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