Individual
SUZANNE S. CHILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 E. HAMPDEN AVENUE, ENGLEWOOD, CO 80113-2702
(303) 788-6911
(303) 306-7753
Mailing address
P.O. BOX 173862, DENVER, CO 80217-3862
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
30911
CO
207P00000X
Emergency Medicine Physician
Primary
DR.0030911
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01309111
—
CO
01
—
930043957
RAILROAD MEDICARE
CO
Enumeration date
11/29/2005
Last updated
08/06/2015
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