Basic Information
Provider Information
NPI: 1326068529
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALMONY
FirstName: JEFFREY
MiddleName: LEE
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1333 IRIS AVENUE
Address2:  
City: BOULDER
State: CO
PostalCode: 803042296
CountryCode: US
TelephoneNumber: 3034438500
FaxNumber: 7204063606
Practice Location
Address1: 1333 IRIS AVENUE
Address2:  
City: BOULDER
State: CO
PostalCode: 803042296
CountryCode: US
TelephoneNumber: 3034438500
FaxNumber: 7204063606
Other Information
ProviderEnumerationDate: 07/20/2006
LastUpdateDate: 06/15/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/15/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0804X32260COY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry

No ID Information.


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