Provider Demographics
NPI:1891312013
Name:ALL MY RELATIONS DR TONY BANDELE PC
Entity Type:Organization
Organization Name:ALL MY RELATIONS DR TONY BANDELE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:BANDELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-921-3633
Mailing Address - Street 1:1467 S JASPER ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80017-4028
Mailing Address - Country:US
Mailing Address - Phone:303-921-3633
Mailing Address - Fax:
Practice Address - Street 1:2323 S TROY ST STE 3-107
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1982
Practice Address - Country:US
Practice Address - Phone:303-921-3633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-03
Last Update Date:2020-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty