Healthcare Provider Details
I. General information
NPI: 1407771736
Provider Name (Legal Business Name): THRIVEMD OF COLORADO PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
280 MAIN ST UNIT C-104
EDWARDS CO
81632-8501
US
IV. Provider business mailing address
7400 E CALEY AVE STE 150
CENTENNIAL CO
80111-6915
US
V. Phone/Fax
- Phone: 970-766-8245
- Fax:
- Phone: 720-575-7878
- Fax: 888-491-7137
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMY
YOUNT
Title or Position: RDO
Credential:
Phone: 720-575-7878