Provider Demographics
NPI:1245261965
Name:FINE, ANDY M
Entity type:Individual
Prefix:DR
First Name:ANDY
Middle Name:M
Last Name:FINE
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:ANDY
Other - Middle Name:M
Other - Last Name:FINE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:7720 S BROADWAY
Mailing Address - Street 2:STE 590
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2601
Mailing Address - Country:US
Mailing Address - Phone:303-703-8583
Mailing Address - Fax:303-703-9791
Practice Address - Street 1:7720 S BROADWAY STE G30
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2636
Practice Address - Country:US
Practice Address - Phone:303-703-8583
Practice Address - Fax:303-703-9791
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO34784207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine