Individual provider · NPI-1

Dr. Edwin Anselmi, MD

Family Medicine · Centennial, CO

NPI number1790780989
StatusActive
Last updated in NPPESOct 17, 2023

Details

NPI
1790780989
Entity type
Individual (NPI-1)
Name
Dr. Edwin Anselmi
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 15, 2005
Certification date
Oct 17, 2023
Last updated
Oct 17, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine39788COYes

Practice location

7960 S University Blvd Ste 203
Centennial, CO 80122-3167

Phone 720-344-2680 · Fax 720-344-2681

Mailing address

7960 S University Blvd Ste 203
Centennial, CO 80122-3167

Phone 720-344-2680 · Fax 720-344-2681

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