Provider Demographics
NPI:1457685828
Name:COLORADO MEDICAL FITNESS AND PRIMARY CARE
Entity Type:Organization
Organization Name:COLORADO MEDICAL FITNESS AND PRIMARY CARE
Other - Org Name:GLOBAL INFECTIOUS DISEASE PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MORRONI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-888-9981
Mailing Address - Street 1:23781 E WHITAKER DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-5885
Mailing Address - Country:US
Mailing Address - Phone:303-888-9981
Mailing Address - Fax:
Practice Address - Street 1:9785 MAROON CIR
Practice Address - Street 2:STE 160
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-5919
Practice Address - Country:US
Practice Address - Phone:303-888-9981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-01
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO44957207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty