Healthcare Provider Details

I. General information

NPI: 1326068529
Provider Name (Legal Business Name): JEFFREY LEE ALMONY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 06/15/2020
Certification Date: 06/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1333 IRIS AVENUE
BOULDER CO
80304-2296
US

IV. Provider business mailing address

1333 IRIS AVENUE
BOULDER CO
80304-2296
US

V. Phone/Fax

Practice location:
  • Phone: 303-443-8500
  • Fax: 720-406-3606
Mailing address:
  • Phone: 303-443-8500
  • Fax: 720-406-3606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number32260
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: