Healthcare Provider Details
I. General information
NPI: 1164949855
Provider Name (Legal Business Name): ALLPRIA HEALTHCARE CENTERS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/24/2017
Last Update Date: 06/25/2024
Certification Date: 06/25/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
799 E HAMPDEN AVE STE 305
ENGLEWOOD CO
80113-2766
US
IV. Provider business mailing address
9195 GRANT ST STE 205
THORNTON CO
80229-4386
US
V. Phone/Fax
- Phone: 720-307-7246
- Fax: 720-502-5271
- Phone: 720-307-7246
- Fax: 720-502-5271
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207LA0401X |
| Taxonomy | Addiction Medicine (Anesthesiology) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208VP0000X |
| Taxonomy | Pain Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CHRISTOPHER
J
FRANDRUP
Title or Position: PRESIDENT
Credential: MD
Phone: 720-484-1538