Provider Demographics
NPI:1689162596
Name:AAL, ARI (DO)
Entity Type:Individual
Prefix:
First Name:ARI
Middle Name:
Last Name:AAL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2960 INCA ST UNIT 413
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-1105
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2501 WALNUT ST.
Practice Address - Street 2:UNIT 204
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-8030
Practice Address - Country:US
Practice Address - Phone:303-481-2366
Practice Address - Fax:303-481-2366
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-25
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.00649792084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry