Healthcare Provider Details

I. General information

NPI: 1225091069
Provider Name (Legal Business Name): JOE VIRDEN TONEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 E 19TH AVE SUITE 5300
DENVER CO
80218-1216
US

IV. Provider business mailing address

5459 S KRAMERIA ST
GREENWOOD VILLAGE CO
80111-1426
US

V. Phone/Fax

Practice location:
  • Phone: 303-839-7440
  • Fax: 303-839-7210
Mailing address:
  • Phone: 303-370-1337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number29869
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: