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Andre Fallavollita, MD
Student in an Organized Health Care Education/Training Program in Aurora, Colorado
NPI 1316461502

Andre Fallavollita is a Student in an Organized Health Care Education/Training Program based in Aurora, CO. Andre Fallavollita practices in Aurora, CO and has the professional credentials of MD. The NPI Number for Andre Fallavollita is 1316461502 and holds a License No. DR.0070653 (Colorado).

The current practice location address for Andre Fallavollita is 12605 E 16Th Ave, Aurora, CO and can be reached out via phone at 720-848-0000.

Location: 12605 E 16Th Ave, Aurora, CO, 80042-0429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316461502
Provider Name
Andre Fallavollita
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12605 E 16Th Ave, Aurora, CO, 80042-0429
Phone Number
720-848-0000
Fax Number
Provider Enumeration Date
07/28/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12605 E 16Th Ave
City
Aurora
State
Colorado
Zip
80045-2545
Phone Number
720-848-0000
Fax Number
person
Provider Business Mailing Address Details
Address
12605 E 16Th Ave
City
Aurora
State
Colorado
Zip
80045-2545
Phone Number
720-848-0000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DR.0070653 (Colorado)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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