Healthcare Provider Details

I. General information

NPI: 1104152958
Provider Name (Legal Business Name): LOEFFLER BUSINESS PARTNERSHIP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2009
Last Update Date: 11/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7367 S FILLMORE CIR
CENTENNIAL CO
80122-1942
US

IV. Provider business mailing address

7367 S FILLMORE CIR
CENTENNIAL CO
80122-1942
US

V. Phone/Fax

Practice location:
  • Phone: 303-981-2963
  • Fax:
Mailing address:
  • Phone: 303-981-2963
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PH0002X
TaxonomyHospice and Palliative Medicine (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD T LOEFFLER
Title or Position: OWNER
Credential: MD
Phone: 303-981-2963