Healthcare Provider Details

I. General information

NPI: 1326500091
Provider Name (Legal Business Name): MERYL COLTON MD, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2019
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12631 E 17TH AVE STE B177
AURORA CO
80045-2527
US

IV. Provider business mailing address

3701 BROADWAY FL 3
OAKLAND CA
94611-5613
US

V. Phone/Fax

Practice location:
  • Phone: 303-724-1792
  • Fax:
Mailing address:
  • Phone: 510-752-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberA186800
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: