Provider Demographics
NPI:1770169963
Name:GALLUS MEDICAL SERVICES OF COLORADO
Entity type:Organization
Organization Name:GALLUS MEDICAL SERVICES OF COLORADO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL REIMBURSEMENT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:EDGAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-501-2227
Mailing Address - Street 1:300 S JACKSON ST STE 220
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-3134
Mailing Address - Country:US
Mailing Address - Phone:720-501-2227
Mailing Address - Fax:720-501-2237
Practice Address - Street 1:5920 S ESTES ST STE 150
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-8620
Practice Address - Country:US
Practice Address - Phone:720-673-8910
Practice Address - Fax:720-242-8656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-19
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Multi-Specialty