Healthcare Provider Details

I. General information

NPI: 1821779232
Provider Name (Legal Business Name): CHRIESL INFUSION CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2023
Last Update Date: 07/27/2023
Certification Date: 07/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 S MCCASLIN BLVD STE 111
SUPERIOR CO
80027-9701
US

IV. Provider business mailing address

1444 S POTOMAC ST STE 220
AURORA CO
80012-4509
US

V. Phone/Fax

Practice location:
  • Phone: 720-400-7025
  • Fax: 720-400-7049
Mailing address:
  • Phone: 720-400-7025
  • Fax: 720-400-7049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER JAMES PEREZ
Title or Position: CEO
Credential: APRN
Phone: 720-720-4000