NPI 1659311959 · Family Medicine · Anthem
Active in carrier directories but no matching Colorado DORA license record found.
NPPES
BOULDER, 80303
Freshness: Unknown
Network Status
Listed with 8 carriers
DORA License
No license data
Medicare
Enrolled but no billing activity
Care Compare
Address matches NPPES
PECOS Enrollment
Medicare enrolled
Active NPI with specialty classification
No DORA license data found
Active Medicare billing confirmed
Single address source (NPPES)
Listed in multiple carrier networks
8 networks across 4 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.
Order/Referring eligible: Yes