Provider Demographics
NPI:1124269311
Name:COLORADO SLEEP &PULMONARY PC
Entity type:Organization
Organization Name:COLORADO SLEEP &PULMONARY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:BALLARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-832-2955
Mailing Address - Street 1:1601 E 19TH AVE
Mailing Address - Street 2:#3550
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1216
Mailing Address - Country:US
Mailing Address - Phone:303-832-2955
Mailing Address - Fax:303-832-2954
Practice Address - Street 1:1601 E 19TH AVE
Practice Address - Street 2:#3550
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1216
Practice Address - Country:US
Practice Address - Phone:303-832-2955
Practice Address - Fax:303-832-2954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-17
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center