Provider Demographics
NPI:1497761654
Name:DEMPSEY, AMANDA FRISCH (MD PHD)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:FRISCH
Last Name:DEMPSEY
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:FRISCH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 110429
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80042-0429
Mailing Address - Country:US
Mailing Address - Phone:303-493-7000
Mailing Address - Fax:
Practice Address - Street 1:13123 E 16TH AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-7106
Practice Address - Country:US
Practice Address - Phone:303-777-1234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR-50748208000000X
MI4301087217208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO44988061Medicaid
COCOAAA3580Medicare PIN