MEDICARE: SUSAN PATRICE ANZALONE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	DR.0053665	CO
2	2084N0400X	Neurology Physician	125061880	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043538085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN PATRICE ANZALONE MD

Provider Business Mailing Address
First Line	:	5445 DTC PKWY STE 1050
Second Line	:
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80111-3079
Country	:	US
Telephone Number	:	720-870-0334
Fax Number	:	831-603-0438

Provider Business Practice Location Address
First Line	:	5445 DTC PKWY STE 1050
Second Line	:
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80111-3079
Country	:	US
Telephone Number	:	720-870-0334
Fax Number	:	831-603-0438

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2010
Last Update Date	:	09/26/2025

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Directions to “ SUSAN PATRICE ANZALONE MD” Practice Location

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