MEDICARE: CLEO ELISE WHITING 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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1558163188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLEO ELISE WHITING MD

Provider Business Mailing Address
First Line	:	1960 N OGDEN ST STE 400
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-3670
Country	:	US
Telephone Number	:	303-318-1540
Fax Number	:

Provider Business Practice Location Address
First Line	:	1960 N OGDEN ST STE 400
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-3670
Country	:	US
Telephone Number	:	303-318-1540
Fax Number	:

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

Provider Enumeration Date	:	03/25/2025
Last Update Date	:	04/26/2026

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Directions to “ CLEO ELISE WHITING MD” Practice Location

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