Elaine Z Allgood, MD
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Boulder, CO
NPI 1093772147 · NPPES record last updated Jan 20, 2023
Key facts
- NPI
- 1093772147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- R1J24 (MO)
- Practice address
- 1104 Juniper Ave
Boulder, CO 80304-1730 - Phone
- (314) 799-7831
- NPI assigned
- May 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Spine Center LLC | Current |
Accepting new patients |
Locations
10296 Big Bend Rd
Ste 205
Saint Louis, MO 63122
Phone (314) 315-9911
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | R1J24 | MO | Yes |
Addresses
Primary practice location
1104 Juniper Ave
Boulder, CO 80304-1730
Mailing address
1104 Juniper Ave
Boulder, CO 80304-1730
Phone (314) 799-7831
Other names
- Elaine Z Charles
Other providers in Boulder, CO
- Laura Allen
- Lori Allen
- Matthew Allen
- Shawn B Allen
- Molly Allendorf
- Alliance Behavioral Services LLC
- Alliance Health of Colorado
- Allison Galloway Inc.
- Allison Sherry Speech Therapy
- Leila A Almahdy
All providers in Boulder, CO · Anatomic Pathology & Clinical Pathology Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.