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NPI Code Detail

MEDICARE: DR. ALFRED ERED NASH JR. M.D.

MEDICARE: DR. ALFRED ERED NASH JR. M.D.
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
1207Q00000XFamily Medicine Physician37668CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1021999OTHERCOKAISER COMMERCIAL NUMBER
2840770897OTHERCOTAX ID
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851468276
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALFRED ERED NASH JR. M.D.
Provider Business Mailing Address
First Line : 2121 S BLACKHAWK ST STE 110
Second Line :
City : AURORA
State : CO
Zip : 80014-1488
Country : US
Telephone Number : 303-353-2530
Fax Number : 720-535-4821
Provider Business Practice Location Address
First Line : 2121 S BLACKHAWK ST STE 110
Second Line :
City : AURORA
State : CO
Zip : 80014-1488
Country : US
Telephone Number : 303-353-2530
Fax Number : 720-535-4821
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2006
Last Update Date : 08/02/2022

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