Healthcare Provider Details

I. General information

NPI: 1720575442
Provider Name (Legal Business Name): AFIA OLAMIDE UKOR DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2018
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 S WADSWORTH BLVD
LAKEWOOD CO
80232-6832
US

IV. Provider business mailing address

923 AUBURN WAY N
AUBURN WA
98002-4117
US

V. Phone/Fax

Practice location:
  • Phone: 303-985-1597
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberCDRH.0066346
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: