Provider Demographics
NPI:1669481701
Name:PALIS, ROSS I (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSS
Middle Name:I
Last Name:PALIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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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 1:1667 COLE BLVD, BLDG 19, STE 200
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80401
Practice Address - Country:US
Practice Address - Phone:303-420-3131
Practice Address - Fax:303-420-1984
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO0065185207K00000X
IL036122530207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology