Healthcare Provider Details

I. General information

NPI: 1891174801
Provider Name (Legal Business Name): GILLIAN CLAIRE DITTON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2015
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1551 PROFESSIONAL LN UNIT 125
LONGMONT CO
80501-6971
US

IV. Provider business mailing address

1551 PROFESSIONAL LN UNIT 125
LONGMONT CO
80501-6971
US

V. Phone/Fax

Practice location:
  • Phone: 720-494-3119
  • Fax: 720-718-0952
Mailing address:
  • Phone: 720-949-3119
  • Fax: 720-718-0952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberDR.0064019
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: