Healthcare Provider Details

I. General information

NPI: 1376140137
Provider Name (Legal Business Name): COLORADO PHYSICIAN PARTNERS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2020
Last Update Date: 04/26/2024
Certification Date: 04/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7960 S UNIVERSITY BLVD STE 203
CENTENNIAL CO
80122-3167
US

IV. Provider business mailing address

205 S GARRISON ST
LAKEWOOD CO
80226-2843
US

V. Phone/Fax

Practice location:
  • Phone: 720-344-2680
  • Fax: 720-344-2681
Mailing address:
  • Phone: 720-728-5170
  • Fax: 720-866-9967

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JEFFREY A AMUNDSON
Title or Position: CHAIRMAN
Credential: MD
Phone: 303-237-2779