Individual
DR. CAROLYN L TILLQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 E HARVARD AVE STE 140, DENVER, CO 80210-7007
(303) 777-0781
(303) 777-0786
Mailing address
950 E HARVARD AVE STE 140, DENVER, CO 80210-7007
(303) 777-0781
(303) 777-0786
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
34054
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01310549
—
CO
Enumeration date
02/27/2006
Last updated
07/19/2013
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