Provider Demographics
NPI:1154448348
Name:SNOWDEN, TERESE K (MD)
Entity Type:Individual
Prefix:MS
First Name:TERESE
Middle Name:K
Last Name:SNOWDEN
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:8200 E BELLEVIEW AVE
Mailing Address - Street 2:418C
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2803
Mailing Address - Country:US
Mailing Address - Phone:303-022-1037
Mailing Address - Fax:303-796-9604
Practice Address - Street 1:8200 E BELLEVIEW AVE
Practice Address - Street 2:418C
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2803
Practice Address - Country:US
Practice Address - Phone:303-022-1037
Practice Address - Fax:303-796-9604
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO25742207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC454918Medicare PIN