Provider Demographics
NPI:1518920222
Name:GIROUX, MONIQUE LILLIAN (MD)
Entity Type:Individual
Prefix:
First Name:MONIQUE
Middle Name:LILLIAN
Last Name:GIROUX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:499 E HAMPDEN AVE
Mailing Address - Street 2:250
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2780
Mailing Address - Country:US
Mailing Address - Phone:303-781-0511
Mailing Address - Fax:303-781-0517
Practice Address - Street 1:499 E HAMPDEN AVE
Practice Address - Street 2:250
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2780
Practice Address - Country:US
Practice Address - Phone:303-781-0511
Practice Address - Fax:303-781-0517
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2013-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO510392084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO18677878Medicaid
CO18677878Medicaid