Healthcare Provider Details

I. General information

NPI: 1285052928
Provider Name (Legal Business Name): ALISON SPATZ LEVINE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2014
Last Update Date: 06/09/2024
Certification Date: 06/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 LARAMIE BLVD UNIT D
BOULDER CO
80304-4780
US

IV. Provider business mailing address

950 LARAMIE BLVD UNIT D
BOULDER CO
80304-4780
US

V. Phone/Fax

Practice location:
  • Phone: 303-747-4907
  • Fax:
Mailing address:
  • Phone: 303-747-4907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberDR0060686
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number060686
License Number StateCO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: