Provider Demographics
NPI:1457480725
Name:QUIGLEY, JILL ANDREA (MD)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:ANDREA
Last Name:QUIGLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:10901 W TOLLER DR
Mailing Address - Street 2:100
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-6312
Mailing Address - Country:US
Mailing Address - Phone:303-973-3529
Mailing Address - Fax:303-973-3549
Practice Address - Street 1:10901 W TOLLER DR
Practice Address - Street 2:100
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-6312
Practice Address - Country:US
Practice Address - Phone:303-973-3529
Practice Address - Fax:303-973-3549
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2013-08-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO46979207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO45-4715150OtherTAX ID
CO261993OtherMEDICARE GROUP NUMBER
CO1457480725OtherNPI
CO262057YLYMOtherMEDICARE PTAN