Healthcare Provider Details

I. General information

NPI: 1922622547
Provider Name (Legal Business Name): COLORADO OB/GYN PARTNERS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2020
Last Update Date: 05/29/2020
Certification Date: 05/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6363 W 120TH AVE STE 202
BROOMFIELD CO
80020-2406
US

IV. Provider business mailing address

9195 GRANT ST STE 410
THORNTON CO
80229-4388
US

V. Phone/Fax

Practice location:
  • Phone: 303-460-7116
  • Fax: 303-460-8204
Mailing address:
  • Phone: 303-280-2229
  • Fax: 303-280-0765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN M VOLIN
Title or Position: PRESIDENT
Credential: MD
Phone: 303-280-2229