Healthcare Provider Details

I. General information

NPI: 1043325624
Provider Name (Legal Business Name): ANDREA KRUMHOLZ SALZBERG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 11/15/2024
Certification Date: 11/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1707 COLE BLVD STE 150
GOLDEN CO
80401-3255
US

IV. Provider business mailing address

1707 COLE BLVD. STE #100
GOLDEN CO
80401
US

V. Phone/Fax

Practice location:
  • Phone: 303-763-4900
  • Fax:
Mailing address:
  • Phone: 303-716-8013
  • Fax: 303-763-5495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number43568
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: