Provider Demographics
NPI:1124102330
Name:DONCH, TERESE (DO)
Entity type:Individual
Prefix:MS
First Name:TERESE
Middle Name:
Last Name:DONCH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8200 E. BELLEVIEW AVE
Mailing Address - Street 2:330 C
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2803
Mailing Address - Country:US
Mailing Address - Phone:303-221-5700
Mailing Address - Fax:303-221-5701
Practice Address - Street 1:8200 E. BELLEVIEW AVE
Practice Address - Street 2:330 C
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2803
Practice Address - Country:US
Practice Address - Phone:303-221-5700
Practice Address - Fax:303-221-5701
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO36427207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine