NPI 1104000223 · Physician · Anthem
Active in carrier directories but no matching Colorado DORA license record found.
NPPES
LAFAYETTE, 80026
Freshness: Unknown
Network Status
Listed with 5 carriers
DORA License
No license data
Medicare
Non-Medicare specialty
Care Compare
No Care Compare data
PECOS Enrollment
No PECOS data
Active NPI with specialty classification
No DORA license data found
No Medicare billing · No electronic endpoint · No PECOS enrollment
Single address source (NPPES)
Listed in multiple carrier networks
5 networks across 3 carriers
Disclaimer: This analysis uses publicly available federal and state data sources. It does not constitute a determination of provider status or network participation. Contact the provider or health plan directly to verify current status.