Healthcare Provider Details

I. General information

NPI: 1558999482
Provider Name (Legal Business Name): COLLIN ANDREW BECKSTROM DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2020
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14000 E ARAPAHOE RD STE 300
CENTENNIAL CO
80112-4045
US

IV. Provider business mailing address

14000 E ARAPAHOE RD STE 300
CENTENNIAL CO
80112-4045
US

V. Phone/Fax

Practice location:
  • Phone: 303-671-5553
  • Fax:
Mailing address:
  • Phone: 303-671-5553
  • Fax: 918-619-4152

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberDR.0077798
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: