Provider Demographics
NPI:1043839368
Name:BONO, COLLEEN QUIRK (DO, MBA)
Entity type:Individual
Prefix:
First Name:COLLEEN
Middle Name:QUIRK
Last Name:BONO
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Gender:
Credentials:DO, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:13001 E 17TH PL BLDG E2322
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-2570
Mailing Address - Country:US
Mailing Address - Phone:303-724-6019
Mailing Address - Fax:303-724-4963
Practice Address - Street 1:13001 E 17TH PL BLDG E2322
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2570
Practice Address - Country:US
Practice Address - Phone:303-724-6019
Practice Address - Fax:303-724-4963
Is Sole Proprietor?:No
Enumeration Date:2020-04-16
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.00697312084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology