Provider Demographics
NPI:1013775089
Name:LITTLEFIELD, CONNOR PATRICK
Entity type:Individual
Prefix:
First Name:CONNOR
Middle Name:PATRICK
Last Name:LITTLEFIELD
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12631 E 17TH AVE STE B202
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-2550
Mailing Address - Country:US
Mailing Address - Phone:515-240-5949
Mailing Address - Fax:
Practice Address - Street 1:12631 E 17TH AVE STE B202
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2550
Practice Address - Country:US
Practice Address - Phone:720-848-1900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-13
Last Update Date:2025-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program