Provider Demographics
NPI:1255212122
Name:ALTITUDE FAMILY & INTERNAL MEDICINE, LLC
Entity type:Organization
Organization Name:ALTITUDE FAMILY & INTERNAL MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ADI
Authorized Official - Middle Name:
Authorized Official - Last Name:KAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-730-2167
Mailing Address - Street 1:7950 KIPLING ST STE 230
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-3923
Mailing Address - Country:US
Mailing Address - Phone:303-730-2167
Mailing Address - Fax:303-996-4820
Practice Address - Street 1:7950 KIPLING ST STE 230
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-3923
Practice Address - Country:US
Practice Address - Phone:303-730-2167
Practice Address - Fax:303-996-4820
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALTITUDE FAMILY & INTERNAL MEDICINE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty