Provider Demographics
NPI:1659853430
Name:ALTERNATIVE PHYSICAL MEDICINE OF COLORADO, PLLC
Entity Type:Organization
Organization Name:ALTERNATIVE PHYSICAL MEDICINE OF COLORADO, PLLC
Other - Org Name:ALTERNATIVE PHYSICAL MEDICINE OF COLORADO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RON
Authorized Official - Middle Name:SPALLONE
Authorized Official - Last Name:SPALLONE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-980-5699
Mailing Address - Street 1:4925 S SANTA FE DR UNIT 300
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-2280
Mailing Address - Country:US
Mailing Address - Phone:303-980-5699
Mailing Address - Fax:303-980-0330
Practice Address - Street 1:4925 S SANTA FE DR UNIT 300
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-2280
Practice Address - Country:US
Practice Address - Phone:303-980-5699
Practice Address - Fax:303-980-0330
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALTERNATIVE PHYSICAL MEDICINE OF COLORADO, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-08-29
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO111N00000X, 208100000X, 2085B0100X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody ImagingGroup - Single Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty