Healthcare Provider Details
I. General information
NPI: 1194234740
Provider Name (Legal Business Name): UNIVERSITY PHYSICIANS INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/27/2017
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5001 S PARKER RD STE 215
AURORA CO
80015-1183
US
IV. Provider business mailing address
PO BOX 110429
AURORA CO
80042-0429
US
V. Phone/Fax
- Phone: 303-315-6200
- Fax:
- Phone: 303-493-7000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LISA
DONAHUE
Title or Position: DIRECTOR
Credential:
Phone: 303-493-7300