Provider Demographics
NPI:1962608018
Name:TOLVE, HARRY J JR
Entity type:Individual
Prefix:DR
First Name:HARRY
Middle Name:J
Last Name:TOLVE
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 89
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80151-0089
Mailing Address - Country:US
Mailing Address - Phone:303-762-0626
Mailing Address - Fax:303-762-0217
Practice Address - Street 1:3464 S DOWNING ST
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2911
Practice Address - Country:US
Practice Address - Phone:303-762-0626
Practice Address - Fax:303-762-0217
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO21145207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine