Healthcare Provider Details

I. General information

NPI: 1598685083
Provider Name (Legal Business Name): ANTHONY TELAROLI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 DALLAS ST STE 274
AURORA CO
80010-1043
US

IV. Provider business mailing address

858 W HAPPY CANYON RD STE 150
CASTLE ROCK CO
80108-3917
US

V. Phone/Fax

Practice location:
  • Phone: 720-608-0379
  • Fax:
Mailing address:
  • Phone: 720-608-0379
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: