Healthcare Provider Details

I. General information

NPI: 1093824229
Provider Name (Legal Business Name): JAMES B GILTNER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 09/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1485 S COLORADO BLVD #220
DENVER CO
80222-3619
US

IV. Provider business mailing address

4 GARDEN CTR STE 100
BROOMFIELD CO
80020-7026
US

V. Phone/Fax

Practice location:
  • Phone: 303-839-7878
  • Fax: 303-759-9375
Mailing address:
  • Phone: 303-469-1941
  • Fax: 303-339-6251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number25404
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: