MEDICARE: UNIVERSITY PHYSICIANS, INCORPORATED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1861902140
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY PHYSICIANS, INCORPORATED

Provider Business Mailing Address
First Line	:	PO BOX 110429
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80042-0429
Country	:	US
Telephone Number	:	303-493-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1340 LEYDEN ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80220-2805
Country	:	US
Telephone Number	:	303-320-8686
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	LISA DONAHUE
Credential	:
Telephone Number	:	303-493-7300

Provider Enumeration Date	:	10/02/2017
Last Update Date	:	08/29/2024

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