Individual
IRENE S SOESILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2350 MEADOWS BLVD, CASTLE ROCK, CO 80109-8405
(720) 455-0655
Mailing address
2350 MEADOWS BLVD, CASTLE ROCK, CO 80109-8405
(720) 455-0655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
43413
CO
208M00000X
Hospitalist Physician
Primary
43413
CO
208M00000X
Hospitalist Physician
Primary
DR.0043413
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10722238
—
CO
Enumeration date
12/22/2006
Last updated
04/21/2026
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