Basic Information
Provider Information
NPI: 1659767879
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MONROE
FirstName: ALEXANDER
MiddleName: HARRY
NamePrefix: MR.
NameSuffix:  
Credential: D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5200 DTC PKWY STE 400
Address2:  
City: GREENWOOD VILLAGE
State: CO
PostalCode: 801112719
CountryCode: US
TelephoneNumber: 3037450000
FaxNumber: 3037733101
Practice Location
Address1: 5200 DTC PKWY STE 400
Address2:  
City: GREENWOOD VILLAGE
State: CO
PostalCode: 801112719
CountryCode: US
TelephoneNumber: 3037450000
FaxNumber: 3037733101
Other Information
ProviderEnumerationDate: 04/14/2015
LastUpdateDate: 04/13/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/13/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X0064063CON Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X036.145692ILN Allopathic & Osteopathic PhysiciansHospitalist 
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
208M00000X0064063COY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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