Healthcare Provider Details

I. General information

NPI: 1336716455
Provider Name (Legal Business Name): SWEDISH PORTER EKG INTERPRETATION SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2021
Last Update Date: 06/08/2021
Certification Date: 06/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14200 E. ARAPAHOE RD
CENTENNIAL CO
80112-4065
US

IV. Provider business mailing address

3464 S. WILLOW STREET SUITE 102
DENVER CO
80231-4531
US

V. Phone/Fax

Practice location:
  • Phone: 303-699-3000
  • Fax:
Mailing address:
  • Phone: 303-755-2900
  • Fax: 303-755-0404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GEORGE M FRANK
Title or Position: DIRECTOR
Credential:
Phone: 303-933-8240