Provider Demographics
NPI:1326673377
Name:COLORADO OCUPATIONAL MEDICAL PARTNERS, INC.
Entity Type:Organization
Organization Name:COLORADO OCUPATIONAL MEDICAL PARTNERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:R
Authorized Official - Last Name:LUGLIANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-214-0000
Mailing Address - Street 1:3910 S CAREFREE CIR STE B
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80917-3053
Mailing Address - Country:US
Mailing Address - Phone:719-457-6001
Mailing Address - Fax:720-930-4252
Practice Address - Street 1:3910 S CAREFREE CIR STE B
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80917-3053
Practice Address - Country:US
Practice Address - Phone:719-457-6001
Practice Address - Fax:720-930-4252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-10
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Single Specialty