Basic Information
| Provider Information | |||||||||
| NPI: | 1629046529 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ASPLUND | ||||||||
| FirstName: | SHERYL | ||||||||
| MiddleName: | LYNN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14275 MIDWAY RD | ||||||||
| Address2: | STE 400 | ||||||||
| City: | ADDISON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750013614 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | |||||||||
| FaxNumber: | 6102714245 | ||||||||
| Practice Location | |||||||||
| Address1: | 6750 W 52ND AVE | ||||||||
| Address2: | SUITE F | ||||||||
| City: | ARVADA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800023956 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7208983300 | ||||||||
| FaxNumber: | 7208983333 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/08/2006 | ||||||||
| LastUpdateDate: | 11/26/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ZH0000X | 41885 | CO | N | Allopathic & Osteopathic Physicians | Pathology | Hematology | 207ZP0102X | 41885 | CO | Y | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology | 207ZP0102X | 42579 | AZ | N | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology |
ID Information
| ID | Type | State | Issuer | Description | 03451321 | 05 | CO | MEDICAID | Z1071 | 05 | UT | MEDICAID | 70339368 | 05 | NM | MEDICAID | 362194YTHQ | 01 | CO | MEDICARE COLORADO PTAN | OTHER | 42579 | 01 | AZ | MD LICENSE | OTHER | 844135 | 05 | AZ | MEDICAID |