Provider First Line Business Practice Location Address: 
UNIVERSITY OF COLORADO HOSPITAL
    Provider Second Line Business Practice Location Address: 
4200 E. 9TH AVENUE
    Provider Business Practice Location Address City Name: 
DENVER
    Provider Business Practice Location Address State Name: 
CO
    Provider Business Practice Location Address Postal Code: 
80262-0001
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
303-493-7000
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
09/22/2006