Provider Demographics
NPI:1720621576
Name:VITALITAS DENVER, PC
Entity Type:Organization
Organization Name:VITALITAS DENVER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EVE
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGSTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-257-4886
Mailing Address - Street 1:26 W DRY CREEK CIR STE 200
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-4475
Mailing Address - Country:US
Mailing Address - Phone:720-724-8075
Mailing Address - Fax:
Practice Address - Street 1:26 W DRY CREEK CIR STE 200
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-4475
Practice Address - Country:US
Practice Address - Phone:720-724-8075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-24
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty