Basic Information
| Provider Information | |||||||||
| NPI: | 1528263688 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BELLEVIEW FAMILY MEDICINE PC | ||||||||
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| OtherOrganizationName: | RANCH VIEW FAMILY MEDICINE | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8671 S QUEBEC ST | ||||||||
| Address2: | SUITE 210 | ||||||||
| City: | HIGHLANDS RANCH | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801305859 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3033468828 | ||||||||
| FaxNumber: | 3033460407 | ||||||||
| Practice Location | |||||||||
| Address1: | 8671 S QUEBEC ST | ||||||||
| Address2: | SUITE 210 | ||||||||
| City: | HIGHLANDS RANCH | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801305859 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3033468828 | ||||||||
| FaxNumber: | 3033460407 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/19/2007 | ||||||||
| LastUpdateDate: | 03/19/2009 | ||||||||
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| AuthorizedOfficialLastName: | PIEL | ||||||||
| AuthorizedOfficialFirstName: | MICHAEL | ||||||||
| AuthorizedOfficialMiddleName: | T. | ||||||||
| AuthorizedOfficialTitleorPosition: | MEDICAL DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 3033468828 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | M.D. | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 20261 | CO | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.