Provider Demographics
NPI:1669044350
Name:COLORADO ALLERGY AND ASTHMA CENTERS, PC
Entity Type:Organization
Organization Name:COLORADO ALLERGY AND ASTHMA CENTERS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO/CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MILEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-858-7431
Mailing Address - Street 1:125 RAMPART WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-6429
Mailing Address - Country:US
Mailing Address - Phone:720-858-7550
Mailing Address - Fax:720-858-7615
Practice Address - Street 1:2014 CARIBOU DR STE 200
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-4388
Practice Address - Country:US
Practice Address - Phone:970-221-1681
Practice Address - Fax:970-221-0948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty