Pantoja, Alfonso F

Pantoja, Alfonso F is an individual health care provider with primary practice located at 1375 E 20Th Ave , Denver CO 80205-5422. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Pantoja, Alfonso F can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
1375 E 20Th Ave Denver CO 80205-5422
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 24044 Colorado
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 24044 Colorado

Profile Details

NPI number 1982748778
LBN Legal business name Pantoja, Alfonso F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Sep 28th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982748778 NPPES
Other 005352 KAISER-COMMERCIAL NUMBER
MEDICAID 01240449 KAISER-COMMERCIAL NUMBER

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