Provider Demographics
NPI:1053411421
Name:LITTLEFORD, JOHN ALAN (DO)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:ALAN
Last Name:LITTLEFORD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:10450 S PROGRESS WAY
Mailing Address - Street 2:A105
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-4036
Mailing Address - Country:US
Mailing Address - Phone:303-841-0222
Mailing Address - Fax:303-841-3988
Practice Address - Street 1:10450 S PROGRESS WAY
Practice Address - Street 2:A105
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-4036
Practice Address - Country:US
Practice Address - Phone:303-841-0222
Practice Address - Fax:303-841-3988
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO18185208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D24199Medicare UPIN
6212Medicare ID - Type Unspecified