Healthcare Provider Details
I. General information
NPI: 1801118914
Provider Name (Legal Business Name): ALPENGLOW GYNECOLOGY AND MEDICAL SPA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/17/2010
Last Update Date: 12/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6169 S BALSAM WAY SUITE 280
LITTLETON CO
80123-3062
US
IV. Provider business mailing address
6169 S BALSAM WAY SUITE 280
LITTLETON CO
80123-3062
US
V. Phone/Fax
- Phone: 303-797-9199
- Fax: 877-785-1443
- Phone: 303-797-9199
- Fax: 877-785-1443
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VG0400X |
| Taxonomy | Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JULIE
GELMAN
Title or Position: PHYSICIAN OWNER
Credential: M.D.
Phone: 303-797-9199