Provider Demographics
NPI:1174515845
Name:PUMA FLAIG, INSLEY (MD)
Entity type:Individual
Prefix:
First Name:INSLEY
Middle Name:
Last Name:PUMA FLAIG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:INSLEY
Other - Middle Name:D
Other - Last Name:PUMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7447 E BERRY AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2146
Mailing Address - Country:US
Mailing Address - Phone:303-758-1449
Mailing Address - Fax:303-758-0233
Practice Address - Street 1:7447 E BERRY AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2146
Practice Address - Country:US
Practice Address - Phone:303-758-1449
Practice Address - Fax:303-758-0233
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO42380207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
COH85674Medicare UPIN
CO530818Medicare ID - Type Unspecified