Provider Demographics
NPI:1386823169
Name:JAMES T. MUFFLY
Entity Type:Organization
Organization Name:JAMES T. MUFFLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:T
Authorized Official - Last Name:MUFFLY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-788-7840
Mailing Address - Street 1:799 E HAMPDEN AVE
Mailing Address - Street 2:SUITE 310
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2762
Mailing Address - Country:US
Mailing Address - Phone:303-788-7840
Mailing Address - Fax:303-788-7839
Practice Address - Street 1:799 E HAMPDEN AVE
Practice Address - Street 2:SUITE 310
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2762
Practice Address - Country:US
Practice Address - Phone:303-788-7840
Practice Address - Fax:303-788-7839
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JAMES T. MUFFLY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-30
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO25251207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC459408Medicare PIN