Healthcare Provider Details

I. General information

NPI: 1720646250
Provider Name (Legal Business Name): ALLPRIA HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2019
Last Update Date: 05/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10700 E BETHANY DR STE 104
AURORA CO
80014-2625
US

IV. Provider business mailing address

PO BOX 370832
DENVER CO
80237-0832
US

V. Phone/Fax

Practice location:
  • Phone: 833-834-7246
  • Fax: 720-502-5271
Mailing address:
  • Phone: 833-834-7246
  • Fax: 720-502-5271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANNA MARIE HENRY
Title or Position: CEO
Credential:
Phone: 833-834-7246