Provider Demographics
NPI:1851620686
Name:CHRISTINE L MUNSON MD
Entity Type:Organization
Organization Name:CHRISTINE L MUNSON MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:LORI
Authorized Official - Last Name:WEILER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-788-4106
Mailing Address - Street 1:701 E HAMPDEN AVE
Mailing Address - Street 2:SUITE 320
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2736
Mailing Address - Country:US
Mailing Address - Phone:303-788-4106
Mailing Address - Fax:303-788-4259
Practice Address - Street 1:701 E HAMPDEN AVE
Practice Address - Street 2:SUITE 320
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2736
Practice Address - Country:US
Practice Address - Phone:303-788-4106
Practice Address - Fax:303-788-4259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-07
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO46456208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCOA100462Medicare PIN