Basic Information
Provider Information
NPI: 1295016228
EntityType: 2
ReplacementNPI:  
OrganizationName: UNIVERSITY OF COLORADO DENVER HOSPITAL
LastName:  
FirstName:  
MiddleName:  
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Credential:  
OtherOrganizationName:  
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Mailing Information
Address1: 1057 MARION ST
Address2: AP #8
City: DENVER
State: CO
PostalCode: 802183034
CountryCode: US
TelephoneNumber: 3035893010
FaxNumber:  
Practice Location
Address1: 12631 E 17TH AVE
Address2:  
City: AURORA
State: CO
PostalCode: 800452527
CountryCode: US
TelephoneNumber: 3037242052
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/04/2011
LastUpdateDate: 09/04/2011
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: ALVERO
AuthorizedOfficialFirstName: RUBEN
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: ASSOCIATE PROFESSOR
AuthorizedOfficialTelephone: 7208481833
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282NW0100X  Y HospitalsGeneral Acute Care HospitalWomen

No ID Information.


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