Healthcare Provider Details

I. General information

NPI: 1346595063
Provider Name (Legal Business Name): ANDREA J COLTON M.D., MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2012
Last Update Date: 04/02/2024
Certification Date: 04/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3843 RIO VISTA DRIVE STE 2600
COLORADO SPRINGS CO
80917
US

IV. Provider business mailing address

2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND CO
80538-9071
US

V. Phone/Fax

Practice location:
  • Phone: 719-477-0211
  • Fax: 719-477-0501
Mailing address:
  • Phone: 970-624-2403
  • Fax: 970-490-4173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberDR.0071648
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: