| Colorado Ms Center, Inc. | |
|
1873 S Bellaire St Ste 620 Denver CO 80222-4353 | |
| (720) 263-6290 | |
| (831) 603-0438 |
| Full Name | Colorado Ms Center, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1873 S Bellaire St Ste 620, Denver, Colorado |
| Authorized Official Name and Position | Susan Patrice Anzalone (PRESIDENT) |
| Authorized Official Contact | 7202636290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Ms Center, Inc. 1873 S Bellaire St Ste 620 Denver CO 80222-4353 Ph: (720) 263-6290 | Colorado Ms Center, Inc. 1873 S Bellaire St Ste 620 Denver CO 80222-4353 Ph: (720) 263-6290 |
| NPI Number | 1326517103 |
|---|---|
| Provider Enumeration Date | 11/21/2018 |
| Last Update Date | 02/14/2019 |
| Medicare PECOS PAC ID | 7113266446 |
|---|---|
| Medicare Enrollment ID | O20190305001434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326517103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Susan P Anzalone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043538085 PECOS PAC ID: 3577780188 Enrollment ID: I20150928001382 |
| Provider Name | Christina M Proulx |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164001418 PECOS PAC ID: 8628454485 Enrollment ID: I20220930001580 |
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