Provider Demographics
NPI:1801118914
Name:ALPENGLOW GYNECOLOGY AND MEDICAL SPA, LLC
Entity type:Organization
Organization Name:ALPENGLOW GYNECOLOGY AND MEDICAL SPA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-797-9199
Mailing Address - Street 1:6169 S BALSAM WAY
Mailing Address - Street 2:SUITE 280
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-3062
Mailing Address - Country:US
Mailing Address - Phone:303-797-9199
Mailing Address - Fax:877-785-1443
Practice Address - Street 1:6169 S BALSAM WAY
Practice Address - Street 2:SUITE 280
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-3062
Practice Address - Country:US
Practice Address - Phone:303-797-9199
Practice Address - Fax:877-785-1443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-17
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCOA101585Medicare PIN
G33742Medicare UPIN
COCOA101584Medicare PIN