Healthcare Provider Details

I. General information

NPI: 1447780762
Provider Name (Legal Business Name): TRACEY THOMPSON CROOKS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2017
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13123 E 16TH AVE
AURORA CO
80045-7106
US

IV. Provider business mailing address

PO BOX 110429
AURORA CO
80042-0429
US

V. Phone/Fax

Practice location:
  • Phone: 720-777-3365
  • Fax: 720-777-7178
Mailing address:
  • Phone: 720-777-3365
  • Fax: 720-777-7178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0002X
TaxonomyAdult Congenital Heart Disease Physician
License NumberDR.0073037
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: