Provider Demographics
NPI:1932323037
Name:JOHN F ALSTON MD PC
Entity Type:Organization
Organization Name:JOHN F ALSTON MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:FRAZIER
Authorized Official - Last Name:ALSTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-670-0926
Mailing Address - Street 1:30752 SOUTHVIEW DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439
Mailing Address - Country:US
Mailing Address - Phone:303-670-0926
Mailing Address - Fax:303-670-1191
Practice Address - Street 1:30752 SOUTHVIEW DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439
Practice Address - Country:US
Practice Address - Phone:303-670-0926
Practice Address - Fax:303-670-1191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty