Individual
SARAH PEYTON ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3555 LUTHERAN PKWY, SUITE 150, WHEAT RIDGE, CO 80033-6021
(303) 940-1867
(303) 940-1894
Mailing address
3555 LUTHERAN PKWY, SUITE 150, WHEAT RIDGE, CO 80033-6021
(303) 940-1867
(303) 940-1894
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
38350
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04012365
—
CO
01
—
160057521
RAIL ROAD MEDICARE
CO
05
—
66308321
—
CO
Enumeration date
07/08/2005
Last updated
03/30/2010
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