Healthcare Provider Details

I. General information

NPI: 1285101451
Provider Name (Legal Business Name): ALPINE CENTER FOR DIABETES ENDOCRINOLOGY AND METABOLISM PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2018
Last Update Date: 01/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

892 W SOUTH BOULDER RD
LOUISVILLE CO
80027-2453
US

IV. Provider business mailing address

2090 KEOTA LN
SUPERIOR CO
80027-8244
US

V. Phone/Fax

Practice location:
  • Phone: 720-352-8977
  • Fax:
Mailing address:
  • Phone: 720-352-8977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER R FOX
Title or Position: MEMBER
Credential: MD
Phone: 720-923-7209