Provider Demographics
NPI:1841389764
Name:BEGLEY, COLLEEN P (MD)
Entity Type:Individual
Prefix:
First Name:COLLEEN
Middle Name:P
Last Name:BEGLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9195 GRANT ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-4385
Mailing Address - Country:US
Mailing Address - Phone:303-280-2229
Mailing Address - Fax:303-280-0765
Practice Address - Street 1:300 EXEMPLA CIR
Practice Address - Street 2:SUITE 470
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-3397
Practice Address - Country:US
Practice Address - Phone:303-665-6016
Practice Address - Fax:303-665-0121
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO42680207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO88054365Medicaid
541318Medicare ID - Type Unspecified
CO88054365Medicaid