Healthcare Provider Details

I. General information

NPI: 1649703778
Provider Name (Legal Business Name): ELIZABETH BOSCOE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2017
Last Update Date: 10/17/2022
Certification Date: 10/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 N OGDEN ST STE 300
DENVER CO
80218-1277
US

IV. Provider business mailing address

1818 N OGDEN ST STE 300
DENVER CO
80218-1277
US

V. Phone/Fax

Practice location:
  • Phone: 720-401-2139
  • Fax:
Mailing address:
  • Phone: 720-401-2139
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberTL.0006433
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: