Basic Information
| Provider Information | |||||||||
| NPI: | 1447784087 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | COLORADO OCCUPATIONAL PARTNERS, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1390 S POTOMAC ST STE 136 | ||||||||
| Address2: | |||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800124529 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3032140000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1390 S POTOMAC ST STE 136 | ||||||||
| Address2: | |||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800124529 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3032140000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/19/2017 | ||||||||
| LastUpdateDate: | 03/11/2020 | ||||||||
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| AuthorizedOfficialLastName: | LUGLIANI | ||||||||
| AuthorizedOfficialFirstName: | MATTHEW | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7205056366 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
| NPICertificationDate: | 03/11/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2083X0100X | 44074 | CO | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Preventive Medicine | Occupational Medicine |
No ID Information.