Healthcare Provider Details

I. General information

NPI: 1467827774
Provider Name (Legal Business Name): RMC MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2015
Last Update Date: 12/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 EDISON ST
BRUSH CO
80723-1640
US

IV. Provider business mailing address

1550 LARIMER ST STE 106
DENVER CO
80202-1602
US

V. Phone/Fax

Practice location:
  • Phone: 702-453-3799
  • Fax: 702-453-5741
Mailing address:
  • Phone: 702-453-3799
  • Fax: 702-453-5741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDR0022404
License Number StateCO

VIII. Authorized Official

Name: RICHARD M CAMPBELL
Title or Position: SOLE OWNER
Credential: D.O.
Phone: 307-532-1804