Provider Demographics
NPI:1881697399
Name:GEORGE, SARA ALEXANDER (MD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:ALEXANDER
Last Name:GEORGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:413 SUMMIT BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-8294
Mailing Address - Country:US
Mailing Address - Phone:303-464-7243
Mailing Address - Fax:303-469-2898
Practice Address - Street 1:413 SUMMIT BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80021-8294
Practice Address - Country:US
Practice Address - Phone:303-464-7243
Practice Address - Fax:303-469-2898
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-30
Last Update Date:2010-02-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO43024207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO81021836Medicaid
CO81021836Medicaid
CO800523Medicare PIN