Healthcare Provider Details

I. General information

NPI: 1659853430
Provider Name (Legal Business Name): ALTERNATIVE PHYSICAL MEDICINE OF COLORADO, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2018
Last Update Date: 08/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4925 S SANTA FE DR UNIT 300
LITTLETON CO
80120-2280
US

IV. Provider business mailing address

4925 S SANTA FE DR UNIT 300
LITTLETON CO
80120-2280
US

V. Phone/Fax

Practice location:
  • Phone: 303-980-5699
  • Fax: 303-980-0330
Mailing address:
  • Phone: 303-980-5699
  • Fax: 303-980-0330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateCO

VIII. Authorized Official

Name: DR. RON SPALLONE SPALLONE
Title or Position: CLINIC DIRECTOR
Credential: DC
Phone: 303-980-5699