=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437116175
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JAMES T MUFFLY M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/27/2006
-----------------------------------------------------
Last Update Date | 10/31/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 799 E HAMPDEN AVE STE 310
-----------------------------------------------------
City | ENGLEWOOD
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80113-2700
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-788-7840
-----------------------------------------------------
Fax | 303-788-7839
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 799 E HAMPDEN AVE STE 310
-----------------------------------------------------
City | ENGLEWOOD
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80113-2700
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-788-7840
-----------------------------------------------------
Fax | 303-788-7839
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207X00000X
-----------------------------------------------------
Taxonomy Name | Orthopaedic Surgery Physician
-----------------------------------------------------
License Number | 25251
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------