Provider Demographics
NPI:1649272873
Name:APPLE, DAVID G (DO)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:G
Last Name:APPLE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:5450 WESTERN AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-2709
Mailing Address - Country:US
Mailing Address - Phone:303-415-8940
Mailing Address - Fax:303-425-9259
Practice Address - Street 1:3 SUPERIOR DR STE 100B
Practice Address - Street 2:
Practice Address - City:SUPERIOR
Practice Address - State:CO
Practice Address - Zip Code:80027-8653
Practice Address - Country:US
Practice Address - Phone:034-158-9403
Practice Address - Fax:303-425-9259
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2018-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0053225207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO31970788Medicaid
OH0106016OtherUNITED HEALTH CARE
OH34007280AOtherMEDICAL LICENSE
OH421534506013OtherCHAMPUS/TRICARE
OH94924OtherNATIONWIDE HEALTH PLAN
OH07063270OtherAETNA
OHP00047032OtherRAILROAD MEDICARE
OH2280786Medicaid
OH421534506026OtherCARESOURCE
OH000000390153OtherUNICARE
OH421534506OtherCIGNA
OHD0728004OtherHUMANA/CHOICECARE
CO31970788Medicaid
OH34007280AOtherMEDICAL LICENSE
OH421534506013OtherCHAMPUS/TRICARE