Healthcare Provider Details

I. General information

NPI: 1982182051
Provider Name (Legal Business Name): STORY ELLIOTT DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2018
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8510 BRYANT ST STE 320
WESTMINSTER CO
80031-3845
US

IV. Provider business mailing address

1805 SHEA CENTER DR STE 450
HIGHLANDS RANCH CO
80129-2255
US

V. Phone/Fax

Practice location:
  • Phone: 720-780-5599
  • Fax: 303-955-1039
Mailing address:
  • Phone: 303-357-2559
  • Fax: 303-955-1039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number101092
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MB11213900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: