Provider Demographics
NPI:1265525992
Name:VARBLE, AMY WELCH (MD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:WELCH
Last Name:VARBLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 5170
Mailing Address - Street 2:
Mailing Address - City:BUENA VISTA
Mailing Address - State:CO
Mailing Address - Zip Code:81211-5170
Mailing Address - Country:US
Mailing Address - Phone:719-888-4257
Mailing Address - Fax:855-891-3147
Practice Address - Street 1:213 TABOR ST
Practice Address - Street 2:
Practice Address - City:BUENA VISTA
Practice Address - State:CO
Practice Address - Zip Code:81211
Practice Address - Country:US
Practice Address - Phone:719-888-4257
Practice Address - Fax:855-891-3147
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE32043207Q00000X
MO2023017838207Q00000X
CO41581207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200121312Medicaid
CO70871370Medicaid
CO70871370Medicaid