MEDICARE: ALL MY RELATIONS DR TONY BANDELE PC

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	103T00000X	Psychologist

General Provider Information

NPI Number	:	1891312013
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL MY RELATIONS DR TONY BANDELE PC

Provider Business Mailing Address
First Line	:	1467 S JASPER ST
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80017-4028
Country	:	US
Telephone Number	:	303-921-3633
Fax Number	:

Provider Business Practice Location Address
First Line	:	2323 S TROY ST STE 3-107
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-1982
Country	:	US
Telephone Number	:	303-921-3633
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ANTHONY BANDELE
Credential	:
Telephone Number	:	303-921-3633

Provider Enumeration Date	:	07/03/2020
Last Update Date	:	07/03/2020

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