Provider Demographics
NPI:1285101451
Name:ALPINE CENTER FOR DIABETES ENDOCRINOLOGY AND METABOLISM PC
Entity type:Organization
Organization Name:ALPINE CENTER FOR DIABETES ENDOCRINOLOGY AND METABOLISM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:R
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-923-7209
Mailing Address - Street 1:2090 KEOTA LN
Mailing Address - Street 2:
Mailing Address - City:SUPERIOR
Mailing Address - State:CO
Mailing Address - Zip Code:80027-8244
Mailing Address - Country:US
Mailing Address - Phone:720-352-8977
Mailing Address - Fax:
Practice Address - Street 1:892 W SOUTH BOULDER RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-2453
Practice Address - Country:US
Practice Address - Phone:720-352-8977
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-25
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty