Basic Information
Provider Information
NPI: 1619143708
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PAFFORD
FirstName: WHITNEY
MiddleName: ANNE
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1501 W MINERAL AVE STE 100
Address2:  
City: LITTLETON
State: CO
PostalCode: 801205716
CountryCode: US
TelephoneNumber: 3037300404
FaxNumber: 5139815015
Practice Location
Address1: 1501 W MINERAL AVE STE 100
Address2:  
City: LITTLETON
State: CO
PostalCode: 801205716
CountryCode: US
TelephoneNumber: 3037300404
FaxNumber: 4192264305
Other Information
ProviderEnumerationDate: 05/07/2008
LastUpdateDate: 09/27/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/27/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207YX0007XDR.006879COY Allopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck

No ID Information.


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