Provider Demographics
NPI:1508812025
Name:KLINER, DALE J (MD)
Entity Type:Individual
Prefix:DR
First Name:DALE
Middle Name:J
Last Name:KLINER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:15101 E. ILIFF AVE
Mailing Address - Street 2:SUITE 140
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-4543
Mailing Address - Country:US
Mailing Address - Phone:720-878-7055
Mailing Address - Fax:720-390-5188
Practice Address - Street 1:15101 E. ILIFF AVE
Practice Address - Street 2:SUITE 140
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-4543
Practice Address - Country:US
Practice Address - Phone:720-878-7055
Practice Address - Fax:720-390-5188
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2018-09-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO36228207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01362284Medicaid
CO01362284Medicaid
CO801395Medicare ID - Type Unspecified