Provider Demographics
NPI:1073180360
Name:APPLEGREN, TORI (MD)
Entity type:Individual
Prefix:
First Name:TORI
Middle Name:
Last Name:APPLEGREN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1263 LAKE PLAZA DR STE 230
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-3512
Mailing Address - Country:US
Mailing Address - Phone:719-776-3300
Mailing Address - Fax:573-882-6228
Practice Address - Street 1:1263 LAKE PLAZA DR STE 230
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-3512
Practice Address - Country:US
Practice Address - Phone:719-776-3300
Practice Address - Fax:719-776-3329
Is Sole Proprietor?:No
Enumeration Date:2021-06-07
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021020454207Q00000X
CODR.0072828207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine