Healthcare Provider Details

I. General information

NPI: 1811801442
Provider Name (Legal Business Name): PLATTE RIVER MEDICAL CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3950 W 144TH AVE
BROOMFIELD CO
80023-9508
US

IV. Provider business mailing address

2901 PURCELL ST
BRIGHTON CO
80601-3550
US

V. Phone/Fax

Practice location:
  • Phone: 303-659-7600
  • Fax: 720-336-3989
Mailing address:
  • Phone: 303-659-7600
  • Fax: 720-336-3989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: ANTHONY GERRIT EUSER
Title or Position: OWNER
Credential: DO
Phone: 303-659-7600