Healthcare Provider Details

I. General information

NPI: 1578669172
Provider Name (Legal Business Name): PATRICK JOSEPH RONEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 05/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3025 S PARKER RD SUITE 100
AURORA CO
80014-2911
US

IV. Provider business mailing address

3025 S PARKER RD SUITE 100
AURORA CO
80014-2911
US

V. Phone/Fax

Practice location:
  • Phone: 303-481-7030
  • Fax: 303-745-7665
Mailing address:
  • Phone: 303-481-7030
  • Fax: 303-745-7665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number23327
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: