Healthcare Provider Details

I. General information

NPI: 1023237633
Provider Name (Legal Business Name): COLORADO FAMILY MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 STEELE ST STE 300
DENVER CO
80206-5218
US

IV. Provider business mailing address

128 STEELE ST STE 300
DENVER CO
80206-5218
US

V. Phone/Fax

Practice location:
  • Phone: 303-322-2005
  • Fax:
Mailing address:
  • Phone: 303-322-2005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number17165
License Number StateCO

VIII. Authorized Official

Name: DR. CONSTANTINE JOHN TSAMASFYROS
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 303-322-2005