Provider Demographics
NPI:1700884400
Name:DALEY, CATHERINE JONES (MD)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:JONES
Last Name:DALEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:LYNN
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:96 WADSWORTH BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-1516
Mailing Address - Country:US
Mailing Address - Phone:303-239-8327
Mailing Address - Fax:303-239-9946
Practice Address - Street 1:96 WADSWORTH BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-1516
Practice Address - Country:US
Practice Address - Phone:303-239-8327
Practice Address - Fax:303-239-9946
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO38732208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO44224770Medicaid
H60353Medicare UPIN