Healthcare Provider Details

I. General information

NPI: 1326260498
Provider Name (Legal Business Name): 1ST ALLERGY, ASTHMA AND PEDIATRICS TOO, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 01/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6801 S YOSEMITE ST
CENTENNIAL CO
80112-1441
US

IV. Provider business mailing address

6801 S YOSEMITE ST
CENTENNIAL CO
80112-1441
US

V. Phone/Fax

Practice location:
  • Phone: 303-773-9000
  • Fax: 303-770-1449
Mailing address:
  • Phone: 303-773-9000
  • Fax: 303-770-1449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number32130
License Number StateCO

VIII. Authorized Official

Name: ERIN C HELMS
Title or Position: BILLING MANAGER
Credential:
Phone: 303-773-9000