Healthcare Provider Details

I. General information

NPI: 1902576754
Provider Name (Legal Business Name): NEW WEST PHYSICIANS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2021
Last Update Date: 04/24/2023
Certification Date: 04/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12001 W 63RD PL
ARVADA CO
80004-4034
US

IV. Provider business mailing address

1707 COLE BLVD STE 100
GOLDEN CO
80401-3219
US

V. Phone/Fax

Practice location:
  • Phone: 303-423-1360
  • Fax: 303-423-1640
Mailing address:
  • Phone: 303-763-4900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: RHONDA HECKARD
Title or Position: CREDENTIALING COORDINATOR
Credential:
Phone: 303-763-4900