Basic Information
| Provider Information | |||||||||
| NPI: | 1053602060 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ENGLISH | ||||||||
| FirstName: | AIMEE | ||||||||
| MiddleName: | FALARDEAU | ||||||||
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| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | FALARDEAU | ||||||||
| OtherFirstName: | AIMEE | ||||||||
| OtherMiddleName: | BETH | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 3055 ROSLYN ST | ||||||||
| Address2: | STE 100 | ||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802383323 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7208489000 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3055 ROSLYN ST | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802383323 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7208489000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/25/2011 | ||||||||
| LastUpdateDate: | 05/21/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | CO | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207Q00000X | DR0053369 | CO | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.