Individual
PAUL J ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
360 PEAK ONE DRIVE, STE 180, FRISCO, CO 80443
(970) 668-3633
(970) 668-4406
Mailing address
PO BOX 1921, ENGLEWOOD, CO 80150-1921
(970) 241-0202
(970) 245-0250
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
32136
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01321363
—
CO
01
—
200044869
RAILROAD MEDICARE ID
CO
01
—
680501385004
RMHP ID
CO
01
—
AB36615
BLUE CROSS BLUE SHIELD ID
CO
Enumeration date
06/24/2005
Last updated
03/25/2014
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