Provider Demographics
NPI:1154326791
Name:PLAUS, WILLIAM JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOSEPH
Last Name:PLAUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4545 E 9TH AVE
Mailing Address - Street 2:STE 460
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-3904
Mailing Address - Country:US
Mailing Address - Phone:303-388-2922
Mailing Address - Fax:303-388-2962
Practice Address - Street 1:4545 E 9TH AVE
Practice Address - Street 2:STE 460
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3904
Practice Address - Country:US
Practice Address - Phone:303-388-2922
Practice Address - Fax:303-388-2962
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO26694208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1266949Medicaid
CO1266949Medicaid
COB98871Medicare UPIN