Provider Demographics
NPI:1437116175
Name:MUFFLY, JAMES T (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:T
Last Name:MUFFLY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JAMES
Other - Middle Name:T
Other - Last Name:MUFFLY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:799 E HAMPDEN AVE
Mailing Address - Street 2:STE 310
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2700
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:STE 310
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2700
Practice Address - Country:US
Practice Address - Phone:303-788-7840
Practice Address - Fax:303-788-7839
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO25251207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
D24595Medicare UPIN
COC459418Medicare PIN