Provider Demographics
NPI:1336138585
Name:FINE, ALAN SELIG (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:SELIG
Last Name:FINE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 6410
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-0410
Mailing Address - Country:US
Mailing Address - Phone:303-360-9448
Mailing Address - Fax:303-200-7174
Practice Address - Street 1:752 HIGH ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-3698
Practice Address - Country:US
Practice Address - Phone:303-360-9448
Practice Address - Fax:303-200-7174
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-20
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO231612084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
COD49838Medicare UPIN
COPTAN276974YQKBMedicare UPIN