Healthcare Provider Details

I. General information

NPI: 1427422708
Provider Name (Legal Business Name): EXPERT MEDICAL ALLIANCE OF COLORADO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2015
Last Update Date: 11/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10005 W 17TH PL SUITE B
LAKEWOOD CO
80215-2865
US

IV. Provider business mailing address

10005 W 17TH PL SUITE B
LAKEWOOD CO
80215-2865
US

V. Phone/Fax

Practice location:
  • Phone: 303-233-9700
  • Fax: 303-233-2806
Mailing address:
  • Phone: 303-233-9700
  • Fax: 303-233-2806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SARAH T DOIG
Title or Position: PRESIDENT
Credential: OTR, CHT
Phone: 303-233-9700