Provider Demographics
NPI:1215982798
Name:SAFFER, TRACY (MD)
Entity type:Individual
Prefix:
First Name:TRACY
Middle Name:
Last Name:SAFFER
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 1:8601 TURNPIKE DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-7043
Mailing Address - Country:US
Mailing Address - Phone:303-428-7449
Mailing Address - Fax:303-487-5169
Practice Address - Street 1:8601 TURNPIKE DR
Practice Address - Street 2:SUITE 200
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-7043
Practice Address - Country:US
Practice Address - Phone:303-428-7449
Practice Address - Fax:303-487-5169
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO35697207Q00000X
MT10099207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
COG16176Medicare UPIN
COC373898Medicare PIN