Provider Demographics
NPI:1922504786
Name:ESTES, ALYSSA JILLIAN (DO)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:JILLIAN
Last Name:ESTES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6787 E EXPOSITION AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-1508
Mailing Address - Country:US
Mailing Address - Phone:561-703-7246
Mailing Address - Fax:
Practice Address - Street 1:12600 ALBROOK DR
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80239-4604
Practice Address - Country:US
Practice Address - Phone:561-703-7246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-02
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT0472208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics