Provider Demographics
NPI:1598980310
Name:UNIVERSITY OF COLORADO
Entity Type:Organization
Organization Name:UNIVERSITY OF COLORADO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DERMATOLOGY INSTRUCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ARELIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BURGOS-ZAVODA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-848-0510
Mailing Address - Street 1:8604 E 28TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-2552
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1665 URSULA ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-7402
Practice Address - Country:US
Practice Address - Phone:720-848-0510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO44721282NC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren