Individual
JAMES M PELLERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7100 E BELLEVIEW AVE STE G10, GREENWOOD VILLAGE, CO 80111-1634
(303) 745-0000
(303) 773-3675
Mailing address
7100 E BELLEVIEW AVE STE G10, GREENWOOD VILLAGE, CO 80111-1634
(303) 745-0000
(303) 773-3675
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101253984
VA
207R00000X
Internal Medicine Physician
57660
CO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
57660
CO
207RP1001X
Pulmonary Disease Physician
57660
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790004802
—
CO
01
—
573822YLSH
MEDICARE PTAN
CO
Enumeration date
05/28/2010
Last updated
06/14/2024
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