Provider Demographics
NPI:1265697890
Name:MILLIGAN, CAROLE LEPPER (MD)
Entity type:Individual
Prefix:
First Name:CAROLE
Middle Name:LEPPER
Last Name:MILLIGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 776149
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80477-6149
Mailing Address - Country:US
Mailing Address - Phone:970-870-3362
Mailing Address - Fax:970-871-9986
Practice Address - Street 1:1320 BLUE SPRUCE CT
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-3027
Practice Address - Country:US
Practice Address - Phone:970-870-3362
Practice Address - Fax:970-871-9986
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-23
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO349802085H0002X
CAG323722085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085H0002XAllopathic & Osteopathic PhysiciansRadiologyHospice and Palliative Medicine
No2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A45123Medicare UPIN