Healthcare Provider Details

I. General information

NPI: 1972162238
Provider Name (Legal Business Name): RILEY ELIZABETH WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2019
Last Update Date: 06/21/2024
Certification Date: 06/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 S COLORADO BLVD STE 7300
DENVER CO
80222-7948
US

IV. Provider business mailing address

3439 TEJON ST
DENVER CO
80211-3434
US

V. Phone/Fax

Practice location:
  • Phone: 303-956-1823
  • Fax: 303-479-0379
Mailing address:
  • Phone: 801-243-5600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHAD0000386
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: